Dr. Larry W. Decker

LBN: Decker Vision Group
Dr. Larry W. Decker is an health care organization with primary practice located at 2311 S Jefferson Ave Suite 20/20, Mount Pleasant TX 75455-6011. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Decker Vision Group can be contacted via phone (903) 577-8946, or through Decker, Larry W via phone (903) 577-8946.

Contact Information

Primary practice address
2311 S Jefferson Ave Suite 20/20 Mount Pleasant TX 75455-6011
Fax: (903) 577-8951
Website:
Authorized official contact:
Name: Decker, Larry W Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4731TG Texas

Profile Details

NPI number 1972731081
LBN Legal business name Decker Vision Group
DBA Doing business as Dr. Larry W. Decker
Authorized official Decker, Larry W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2009
Last updated Feb 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972731081 NPPES
Texas MEDICAID 019181901

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