Active NPI
Larry Del Sumerlin, O.D.
- Optometrist
- Harlingen, TX
National Provider Identifier
1235284159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2642
- Practice address
- 2000 S Expressway 83
Ste B-05
Harlingen, TX 78552-5950 - Phone
- (956) 412-7775
- Fax
- (956) 412-7776
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2642 | TX | Primary |
Addresses
Primary practice location
2000 S Expressway 83
Ste B-05
Harlingen, TX 78552-5950
Mailing address
2000 S Expressway 83
Ste B-05
Harlingen, TX 78552-5950
Phone (956) 412-7775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20041213000657 | TX | Practitioner - Optometry | 4789641606 | Practice locations: El Paso, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helgeson Fadel Eye Pro | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235284159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 S EXPRESSWAY 83",
"address_2": "STE B-05",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785525950",
"telephone_number": "956-412-7775",
"fax_number": "956-412-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S EXPRESSWAY 83",
"address_2": "STE B-05",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785525950",
"telephone_number": "956-412-7775",
"fax_number": "956-412-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMERLIN",
"first_name": "LARRY",
"middle_name": "DEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.