Active NPI
Larry J Latour, O.D. P.A.
- Optometrist
- Alachua, FL
National Provider Identifier
1114191012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1543
- Practice address
- 15551 NW US Highway 441 Unit 110
Alachua, FL 32615-9330 - Phone
- (386) 462-7772
- Fax
- (386) 462-1122
- NPI assigned
- Apr 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1543 | FL | Primary |
Addresses
Primary practice location
15551 NW US Highway 441 Unit 110
Alachua, FL 32615-9330
Mailing address
15551 NW US Highway 441 Unit 110
Alachua, FL 32615-9330
Phone (386) 462-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120202000111 | FL | Practitioner - Optometry | 3173718285 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15551 NW US
Suite 110
Alachua, FL 32615
Phone (386) 462-7772
15551 NW US Hwy 441
Unit 110
Alachua, FL 32615-9330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC1543 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry J Latour OD PA | Optometrist | Current | Accepting new patients |
| Family Health Center of Columbia County, Inc. | Past | Accepting new patients |
Locations
15551 NW US Highway 441
Unit 110
Alachua, FL 32615
Phone (386) 462-7772
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Lake City, FL
- NPI 1962464248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1114191012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15551 NW US HIGHWAY 441 UNIT 110",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326159330",
"telephone_number": "386-462-7772",
"fax_number": "386-462-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15551 NW US HIGHWAY 441 UNIT 110",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326159330",
"telephone_number": "386-462-7772",
"fax_number": "386-462-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATOUR",
"first_name": "LARRY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D. P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alachua, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.