Larry Kebo, OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LARRY KEBO, OD, INC

Practice address

1400 Jensen Ave
Sanger, CA 93657-2413

Phone

(559) 875-4515

Fax

(559) 875-9155

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Larry Kebo, O.D.

Title

Owner/Optometrist

Phone

(559) 875-4515

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristian Chaires Vazquez, OD

  • Optometrist
  • Sanger, CA
  • NPI 1457176109
  NPD
• Lesley Kobashi Guerra, O.D.

  • Optometrist
  • Lemoore, CA
  • NPI 1588951768
  NPD
• Bryan Eidal, O. D.

  • Optometrist
  • Reedley, CA
  • NPI 1720036569
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1093773798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572413",
            "telephone_number": "559-875-4515",
            "fax_number": "559-875-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572413",
            "telephone_number": "559-875-4515",
            "fax_number": "559-875-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY KEBO, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "KEBO",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "559-875-4515",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Tran DDS, Inc.
• Brandon Kim
• Donghwan Kim, DDS
• Stephanie Michelle King, M.S., R.D.
• Kings View
• Linda Lee, DDS
• Nou Lee, PHARMD
• Richard Lee, R.N.F.A.
• Tricia Marie Lewis-Aguilar, LVN
• Nancy Lezama, PPS

• Optometrist in Sanger, CA
• Providers in Sanger, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.