Larry-W-Bloomingburg-Od in Henderson - Eyewear Supplier
Larry-W-Bloomingburg-Od - NPI 1952571895
Larry-W-Bloomingburg-Od is a Eyewear Supplier in Henderson, Tennessee. Larry-W-Bloomingburg-Od practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Larry-W-Bloomingburg-Od is 1952571895. The last update date is 2008-03-06.
Larry-W-Bloomingburg-Od's current location address is 138 S Washington Ave, Henderson, Tennessee. You can contact this provider via phone number 7319893511 and fax number 7319893515. The mailing address for Larry-W-Bloomingburg-Od is 138 S Washington Ave, Henderson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larry-W-Bloomingburg-Od |
|---|---|
| Address | 138 S Washington Ave, Henderson, Tennessee |
| Phone Number | 7319893511 |
| Fax Number | 7319893515 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bllomingburg W Larry |
| Credentials | O.D. |
| Telephone Number | 7319893511 |
NPI Number Detail
| NPI Number | 1952571895 |
|---|---|
| Provider Enumeration Date | 2008-03-06 |
| Last Updated Date | 2008-03-06 |
Provider Mailing Address Detail
| Address | 138 S Washington Ave |
|---|---|
| City | Henderson |
| State | Tennessee (TN) |
| Post Code | 383402323 |
| Phone Number | 7319893511 |
| Fax Number | 7319893515 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 573 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the unique provider identifier assigned to Larry-W-Bloomingburg-Od?
The Larry-W-Bloomingburg-Od has been issued the NPI (National Provider Identifier) 1952571895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Larry-W-Bloomingburg-Od?
The Larry-W-Bloomingburg-Od is physically situated at 138 S Washington Ave, in the city of Henderson, state of TN, with the postal code 383402323.
What is the Larry-W-Bloomingburg-Od's area of specialization and corresponding taxonomy classification?
The Larry-W-Bloomingburg-Od's specialty field is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their specialties.
When was the Larry-W-Bloomingburg-Od's 1952571895 issued?
The Larry-W-Bloomingburg-Od's 1952571895 was issued on 2008-03-06.
When was the information related to Larry-W-Bloomingburg-Od most recently updated or refreshed?
The details pertaining to the Larry-W-Bloomingburg-Od, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-06.
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