LARRY LEE NICHOLSON II OD (NPI# 1477595783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477595783 |
| Entity Type | Organization |
| Organization Name | LARRY LEE NICHOLSON II OD |
| Other Organization Name | HUNTINGDON EYE CARE, PC |
| Practice Address |
19870 Main St E Huntingdon TN 38344-3927 |
| Practice Telephone | 7319864400 |
| Practice Fax Number | 7319867981 |
| Mailing Telephone | 7319864400 |
| Mailing Fax Number | 7319867981 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-10-02 |
| Authorized Official Name | LARRY LEE NICHOLSON II OD (OWNER CORPORATION PRESIDENT) |
| Authorized Official Telephone | 7319864400 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | DB9347 | 01 |
| TN | MEDICARE INDIVIUAL | 3946177 | 01 |
| Other Name | Type Code |
|---|---|
| Huntingdon Eye Care, PC | Other Name - Individual/Organization |
| Street Address |
19870 MAIN ST E |
| City | HUNTINGDON |
| State | TN |
| Zip Code | 38344-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801201926 | Michele Ellert | Nurse Practitioner | 710 Fairview Church Rd, Huntingdon, TN 38344 | 2014-06-26 |
| 1396064531 | Carroll Hospital Associates, Pllc | Hospitalist | 631 R. B. Wilson Drive, Huntingdon, TN 38344 | 2010-05-27 |
| 1376792804 | Clinical Radiologists, Pllc | Radiology | 631 R.b. Wilson Dr, Huntingdon, TN 38344 | 2008-09-09 |
| 1134346869 | Christie Harris | Case Manager/Care Coordinator | 19410 West Main, Huntingdon, TN 38344 | 2007-04-20 |
| 1346390515 | State of Tennessee | Public Health or Welfare | 633 High Street, Huntingdon, TN 38344 | 2007-01-11 |
| 1609806439 | Calphor S Carty | Surgery | 641 Rb Wilson Drive, Suite J, Huntingdon, TN 38344 | 2006-07-04 |
| 1376512491 | Emily Katharine Bullock | Nurse Practitioner | 641 R B Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-03-14 |
| 1184114902 | Baptist Memorial Hospital-huntingdon | Clinic/Center | 641 Rb Wilson Dr, Huntingdon, TN 38344 | 2018-05-17 |
| 1760559827 | Rafael Mario Sanchez | Emergency Medicine | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-11-30 |
| 1851317051 | Jill A. Bennett | Nurse Practitioner | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-07-14 |
| Find all providers in zip 38344 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316272040 | West Tennessee Senior Eyecare Pllc | Optometrist | 460 Tara Ln, Huntingdon, TN 38344-2110 | 2009-10-14 |
| 1497874267 | Theodore Thomas Baird | Optometrist | 6676 Smithfield Towne Center, Huntingdon, PA 16652 | 2007-03-29 |
| 1063585677 | Charles Anthony Thomason | Optometrist | 12707 Lexington St, Huntingdon, TN 38344-3720 | 2006-11-15 |
| 1366539694 | Robert A Barclay & Artamarie S. | Optometrist | 314 Ninth Street, Huntingdon, PA 16652-1804 | 2006-10-06 |
| 1679564231 | Artamarie S Barclay | Optometrist | 314 9th St, Huntingdon, PA 16652-1804 | 2005-11-02 |
| 1891791307 | Kara Cook Ritchey | Optometrist | 828 Washington St, Huntingdon, PA 16652-1726 | 2005-06-21 |
| 1053313338 | Larry Lee Nicholson II | Optometrist | 19870 Main E St, Huntingdon, TN 38344-3927 | 2005-06-01 |
| 1235132572 | Hughlon Brown Scarbrough Jr. | Optometrist | 159 Court Sq, Huntingdon, TN 38344-3709 | 2005-05-31 |
| 1023623139 | Wolfinger Eye Care, LLC | Optometrist | 314 9th St, Huntingdon, PA 16652-1804 | 2020-09-15 |
| 1477177970 | Allison Stemko | Optometrist | 314 9th St, Huntingdon, PA 16652-1804 | 2020-06-01 |
| Find all providers in HUNTINGDON | ||||
| City | HUNTINGDON |
| Zip Code | 38344 |
Please comment or provide details below to improve the information on LARRY LEE NICHOLSON II OD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.