Riley, Larry A
Riley, Larry A is an individual health care provider with primary practice located at 1402 N Sioux Ave , Claremore OK 74017-3126. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Riley, Larry A can be contacted via phone (918) 341-3284.Contact Information
Primary practice address
1402 N Sioux Ave
Claremore OK 74017-3126
Phone: (918) 341-3284
Fax: (918) 341-3127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 966 | Oklahoma |
Profile Details
| NPI number | 1053352047 |
|---|---|
| LBN Legal business name | Riley, Larry A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jan 26th, 2017 - about 7 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 | 1053352047 | NPPES |
| Oklahoma | MEDICAID | 100760520A | |
| Oklahoma | Other | P00442795 |
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