Larry Lee Nicholson Ii Od in Huntingdon - Optometrist

Larry Lee Nicholson Ii Od - NPI 1477595783

Larry Lee Nicholson Ii Od is a Optometrist in Huntingdon, Tennessee. Larry Lee Nicholson Ii Od practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Larry Lee Nicholson Ii Od is 1477595783. The last update date is 2013-10-02.

Larry Lee Nicholson Ii Od's current location address is 19870 Main St E, Huntingdon, Tennessee. You can contact this provider via phone number 7319864400 and fax number 7319867981. The mailing address for Larry Lee Nicholson Ii Od is 19870 Main St E, Huntingdon, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Larry Lee Nicholson Ii Od
Address 19870 Main St E, Huntingdon, Tennessee
Phone Number 7319864400
Fax Number 7319867981
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER CORP
Authorized Official Name Nicholson Ii Od Lee Larry
Credentials O.D.
Telephone Number 7319864400

NPI Number Detail

NPI Number 1477595783
Provider Enumeration Date 2006-06-12
Last Updated Date 2013-10-02

Provider Mailing Address Detail

Address 19870 Main St E
City Huntingdon
State Tennessee (TN)
Post Code 383443927
Phone Number 7319864400
Fax Number 7319867981

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DB9347 TN RAILROAD MEDICARE
3946177 TN MEDICARE INDIVIUAL

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FAQs about Larry Lee Nicholson Ii Od

What is the unique provider identifier assigned to Larry Lee Nicholson Ii Od?

The Larry Lee Nicholson Ii Od has been issued the NPI (National Provider Identifier) 1477595783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Larry Lee Nicholson Ii Od?

The Larry Lee Nicholson Ii Od is situated at 19870 Main St E, in the city of Huntingdon, state of TN, with the zip code 383443927.

What is the Larry Lee Nicholson Ii Od's area of specialization and corresponding taxonomy classification?

The Larry Lee Nicholson Ii Od's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.

On what date did Larry Lee Nicholson Ii Od receive its 1477595783 assignment from the Centers for Medicare & Medicaid Services?

The Larry Lee Nicholson Ii Od was assigned its 1477595783 on 2006-06-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Larry Lee Nicholson Ii Od most recently updated or refreshed?

The details pertaining to the Larry Lee Nicholson Ii Od, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-10-02.

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