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
Fax: (304) 684-2492
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508869298 NPPES
West Virginia MEDICAID 0149409000

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