LARRY LEE NICHOLSON O.D., NPI 1053313338
Optometrist in HUNTINGDON, TN
Last Updated on : Jul 16,2015
About LARRY LEE NICHOLSON (NPI 1053313338)
LARRY LEE NICHOLSON is an Optometrist provider in HUNTINGDON, United States. His medical specialization is Optometrist .
1053313338 is NPI number of LARRY LEE NICHOLSON.
LARRY LEE NICHOLSON's primary taxonomy code based on NPI Lookup is 152W00000X with license number ODT2544. This taxonomy code refers to Optometrist.
LARRY LEE NICHOLSON has more than 17 years of experience.
LARRY LEE NICHOLSON current practice location address is 19870 MAIN E ST, HUNTINGDON, TN. LARRY LEE NICHOLSON can be reached out via phone at 731-986-4400 and via fax at 731-986-7981 .
You can also correspond with LARRY LEE NICHOLSON through mail at mailing address 19870 MAIN E ST, HUNTINGDON, TN, United States. Mailing address contact number is 731-986-4400.
The enumeration date of LARRY LEE NICHOLSON is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 8 years ago.1053313338 NPI Information
Basic NPI information of LARRY LEE NICHOLSON (NPI 1053313338) is provided below.
| Name | LARRY LEE NICHOLSON |
|---|---|
| National Provider Id (NPI) | 1053313338 |
| Entity Type | Individual |
| Gender | M |
| Credential | O.D. |
| Practice Address | 19870 MAIN E ST,
HUNTINGDON, TN, United States |
| Practice Telephone | 731-986-4400 |
| Practice Fax Number | 731-986-7981 |
| Mailing Address | 19870 MAIN E ST ,
HUNTINGDON, TN, United States |
| Mailing Telephone | 731-986-4400 |
| Mailing Fax Number | 731-986-7981 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 16-Jul-2015 |
LARRY LEE NICHOLSON (NPI 1053313338) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODT2544 | TN |
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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0381350001 | Other (non-Medicare) (01) | TN | DMERC # |
| 32920 | Other (non-Medicare) (01) | TN | MEMPHIS MGED CARE- TLC |
| 3946177 | MEDICARE ID-Type Unspecified (04) | TN | |
| 3946177 | MEDICAID (05) | TN | |
| 4086613 | Other (non-Medicare) (01) | TN | BCBS |
| 621149225SCA1 | Other (non-Medicare) (01) | TN | HEALTH PARTNERS |
| MN1126704 | Other (non-Medicare) (01) | TN | DEA NUMBER |
| P00137806 | Other (non-Medicare) (01) | TN | RAILROAD MEDICARE |
| V00402 | MEDICARE UPIN (02) | TN |
LARRY LEE NICHOLSON (NPI 1053313338) Office Location
Office location of LARRY LEE NICHOLSON is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1366466575 | KRISTINA T. BROWN | Contractor | RAF ALCONBURY BOX 95,
HUNTINGDON, CAMBS, Great Britain |
27-Jul-2006 |
| 1689730715 | WENDY LANE CRAYOSKY | Social Worker, Clinical | 6350 NICHOLAS DR,
HUNTINGDON, PA, United States |
01-Jan-2007 |
| 1679758098 | EDWARD JOHN TROWBRIDGE | Durable Medical Equipment & Medical Supplies | PO BOX 358,
HUNTINGDON, PA, United States |
03-Jan-2008 |
| 1083761928 | WATSON'S OPTICAL INC. | Eyewear Supplier (Equipment, not the service) | RT 22 CROOKED CREEK ROAD,
RR4 BOX 250 SUITE 2 HUNTINGDON, PA, United States |
04-Jan-2007 |
| 1639567357 | RICHARD KUZELA | Occupational Therapy Assistant | PO BOX 870,
HUNTINGDON, PA, United States |
05-Jan-2015 |
| 1225545791 | BRIAN J. MCDOWELL | Counselor, Professional | 425 FERNDALE DR,
TYRONE, PA, United States |
05-Jan-2018 |
| 1104001320 | JENNIFER HOLT | Family Medicine | 1225 WARM SPRINGS AVENUE,
JC BLAIR MEMORIAL HOSPITAL HUNTINGDON, PA, United States |
07-Jan-2008 |
| 1306234752 | HUNTINGDON SNF LLC | Skilled Nursing Facility | 1229 WARM SPRINGS AVE,
HUNTINGDON, PA, United States |
07-Jan-2015 |
| 1982093191 | SARA STASIK | Speech-Language Pathologist, | 600 WASHINGTON ST,
HUNTINGDON, PA, United States |
12-Jan-2015 |
| 1003205022 | AMANDA BETLER | Physical Therapist | 610 CALIFORNIA AVE,
OAKMONT, PA, United States |
14-Jan-2015 |
| 1417009820 | DOMINICK A KISTLER | Family Medicine | 1225 WARM SPRINGS AVE,
HUNTINGDON, PA, United States |
17-Jan-2007 |
| 1891847216 | RONALD A LONG | Family Medicine | 1225 WARM SPRINGS AVE,
HUNTINGDON, PA, United States |
17-Jan-2007 |
| 1720130107 | MARK R MINOR | Family Medicine | 820 BRYAN ST,
SUITE 3 HUNTINGDON, PA, United States |
17-Jan-2007 |
| 1447302559 | JERI W RINEHART | Chiropractor | 513 PENN ST,
HUNTINGDON, PA, United States |
17-Jan-2007 |
| 1063879310 | AMANDA ICERIA HUNTER | Physical Therapy Assistant | 403 6TH ST,
HUNTINGDON, PA, United States |
18-Jan-2016 |
| 1720131311 | MAINSTREAM COUNSELING | Community/Behavioral Health | 900 WASHINGTON ST,
HUNTINGDON, PA, United States |
19-Jan-2007 |
| 1821487539 | KAITLYN MARHEFKA | Speech-Language Pathologist, | 807 GOUCHER ST,
JOHNSTOWN, PA, United States |
19-Jan-2015 |
| 1255662987 | ASHLEY REED | Speech-Language Pathologist, | PO BOX 870,
403 6TH STREET HUNTINGDON, PA, United States |
20-Jan-2010 |
| 1659341816 | LARRY S FISHER | Dentist, General Practice | 51 PENNSYLVANIA AVE,
HUNTINGDON, PA, United States |
23-Jan-2006 |
| 1558667238 | JULIE A MORDER | Licensed Practical Nurse | 620 WASHINGTON ST,
HUNTINGDON, PA, United States |
28-Jan-2011 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1053313338?1053313338 is the NPI number of LARRY LEE NICHOLSON.
What is the specialty for LARRY LEE NICHOLSON?The Specialty of LARRY LEE NICHOLSON is Optometrist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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