Larry Lee Nicholson in Huntingdon - Optometrist
Larry Lee Nicholson - NPI 1053313338
Larry Lee Nicholson is a Optometrist in Huntingdon, Tennessee. Larry Lee Nicholson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Larry Lee Nicholson is 1053313338. The last update date is 2023-03-07.
Larry Lee Nicholson's current location address is 19870 Main E St, Huntingdon, Tennessee. You can contact this provider via phone number 7319864400 and fax number 7319867981. The mailing address for Larry Lee Nicholson is 19870 Main E St, Huntingdon, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Lee Nicholson |
|---|---|
| Address | 19870 Main E St, Huntingdon, Tennessee |
| Phone Number | 7319864400 |
| Fax Number | 7319867981 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1053313338 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 19870 Main E St |
|---|---|
| City | Huntingdon |
| State | Tennessee (TN) |
| Post Code | 3834439270 |
| Phone Number | 7319864400 |
| Fax Number | 7319867981 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODT2544 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 381350001 | TN | DMERC # | |
| 32920 | TN | MEMPHIS MGED CARE- TLC | |
| 621149225SCA1 | TN | HEALTH PARTNERS | |
| 3946177 | TN | -- | |
| 4086613 | TN | BCBS | |
| P00137806 | TN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Larry Lee Nicholson by the Centers for Medicare & Medicaid Services?
The Larry Lee Nicholson has been assigned the NPI (National Provider Identifier) 1053313338 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Larry Lee Nicholson's facilities are situated?
The facilities of Larry Lee Nicholson are physically located at the following address: 19870 Main E St, Huntingdon, TN, 3834439270.
What is Larry Lee Nicholson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Larry Lee Nicholson is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Larry Lee Nicholson receive its 1053313338 assignment from the Centers for Medicare & Medicaid Services?
The Larry Lee Nicholson was assigned its 1053313338 by the Centers for Medicare & Medicaid Services on 2005-06-01.
As of what date were the Larry Lee Nicholson's details last updated?
The information pertaining to the Larry Lee Nicholson, including its address, specialty, and other details, was most recently updated on 2023-03-07.