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LARRY LEE NICHOLSON O.D., NPI 1053313338

Optometrist in HUNTINGDON, TN

Last Updated on : Jul 16,2015

LARRY LEE NICHOLSON O.D., NPI 1053313338

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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