Dr. Larry R. Kinnick P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. LARRY R. KINNICK P.C.

Practice address

1910 Otter Pond Cir
Montrose, CO 81401-9551

Phone

(970) 596-0490

NPI assigned

Nov 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Larry R. Kinnick, O.D.

Title

Owner/Optometrist

Phone

(970) 596-0490

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1013199025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OTTER POND CIR",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814019551",
            "telephone_number": "970-596-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OTTER POND CIR",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814019551",
            "telephone_number": "970-596-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LARRY R. KINNICK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "KINNICK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "970-596-0490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.