Lewis, Larry Joe

Lewis, Larry Joe is an individual health care provider with primary practice located at 14975 Bypass St , Choctaw OK 73020-8504. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lewis, Larry Joe can be contacted via phone (405) 390-9106.

Contact Information

Primary practice address
14975 Bypass St Choctaw OK 73020-8504
Phone: (405) 390-9106
Fax: (405) 390-1105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 768 Oklahoma

Profile Details

NPI number 1952301095
LBN Legal business name Lewis, Larry Joe
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jan 24th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952301095 NPPES
Oklahoma Other 1317550002 PALMETTO GBA DMERC

Popular Providers