Tagtmeyer, Larry L

Tagtmeyer, Larry L is an individual health care provider with primary practice located at 2504 W 15Th Ave , Emporia KS 66801-6102. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tagtmeyer, Larry L can be contacted via phone (620) 342-7054.

Contact Information

Primary practice address
2504 W 15Th Ave Emporia KS 66801-6102
Phone: (620) 342-7054
Fax: (620) 342-8203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1042-3 Kansas

Profile Details

NPI number 1902808561
LBN Legal business name Tagtmeyer, Larry L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Aug 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902808561 NPPES
Other 410014645 RAILROAD MEDICARE
MEDICAID 100091020B RAILROAD MEDICARE
Other 0279700001 RAILROAD MEDICARE

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