Wilkinson, Larry
Wilkinson, Larry is an sole proprietor health care provider with primary practice located at 4000 Avenue I , Rosenberg TX 77471-3904. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wilkinson, Larry can be contacted via phone (281) 342-4664.Contact Information
Primary practice address
4000 Avenue I
Rosenberg TX 77471-3904
Phone: (281) 342-4664
Fax: (281) 232-0894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02165T | Texas |
Profile Details
| NPI number | 1093702748 |
|---|---|
| LBN Legal business name | Wilkinson, Larry |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2005 |
| Last updated | Aug 21st, 2013 - about 11 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 | 1093702748 | NPPES |
| Texas | MEDICAID | 019274201 | |
| Texas | MEDICAID | 093539701 |
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