Larry D. Gunnell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2496TG Issued in TX

Practice address

3631 Maplewood Ave
Suite 2
Wichita Falls, TX 76308-2149

Phone

(940) 696-0296

Fax

(940) 696-0298

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ldgunnell@mecc.eyefinity-direct.com

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265431340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 MAPLEWOOD AVE",
            "address_2": "SUITE 2",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082149",
            "telephone_number": "940-696-0296",
            "fax_number": "940-696-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 MAPLEWOOD AVE",
            "address_2": "SUITE 2",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082149",
            "telephone_number": "940-696-0296",
            "fax_number": "940-696-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNELL",
        "first_name": "LARRY",
        "middle_name": "D.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2496TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930265-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "2496TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cari Guidry, D.C.
• Timothy Andrew Guitard, RXM
• Steven D Gulbranson, DDS
• Prashanth Gumpu Shivashankar
• Jeanette Gunn, NP
• Vineet Gupta, R.PH, PH.D
• Kelly Dione Guthrie, PH.D.
• Paul Carneal Guthrie, PH.D.
• Blanca Lizzeth Gutierrez
• Laura Gutierrez, APRN, FNP-C

• Optometrist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.