Carr, Larry Wayne
Carr, Larry Wayne is an individual health care provider with primary practice located at 214 Washington St , Saint Marys WV 26170-1041. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Occupational Vision is his primary health care specialty. Carr, Larry Wayne can be contacted via phone (304) 684-2491.Contact Information
Primary practice address
214 Washington St
Saint Marys WV 26170-1041
Phone: (304) 684-2491
Fax: (304) 684-2492
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Pediatrics | 152WP0200X | WV723OD | West Virginia |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | WV723OD | West Virginia |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | WV723OD | West Virginia |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | WV723OD | West Virginia |
Profile Details
NPI number | 1508869298 |
---|---|
LBN Legal business name | Carr, Larry Wayne |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2005 |
Last updated | Oct 16th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508869298 | NPPES |
West Virginia | MEDICAID | 0149409000 |
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