Active NPI
Larry D. Oxenberg O.D.
- Optometrist
- Lancaster, PA
National Provider Identifier
1265736706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001229
- Legal business name
- LARRY D. OXENBERG O.D.
- Practice address
- 326 N Duke St
Lancaster, PA 17602-4958 - Phone
- (717) 394-3798
- Fax
- (717) 394-4810
- NPI assigned
- Dec 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry Dennis Oxenberg, O.D.
- Title
- Optometrist/Owner
- Phone
- (717) 394-3798
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001229 | PA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OEG001229 | PA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | OEG001229 | PA | |
| Pediatric Optometrist | 152WP0200X | OEG001229 | PA | |
| Sports Vision Optometrist | 152WS0006X | OEG001229 | PA | |
| Vision Therapy Optometrist | 152WV0400X | OEG001229 | PA | |
| Occupational Vision Optometrist | 152WX0102X | OEG001229 | PA |
Addresses
Primary practice location
326 N Duke St
Lancaster, PA 17602-4958
Mailing address
326 N Duke St
Lancaster, PA 17602-4958
Phone (717) 394-3798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1234040 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293148800000",
"number": "1265736706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 N DUKE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176024958",
"telephone_number": "717-394-3798",
"fax_number": "717-394-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 N DUKE ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176024958",
"telephone_number": "717-394-3798",
"fax_number": "717-394-4810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY D. OXENBERG O.D.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-24",
"last_updated": "2010-12-24",
"status": "A",
"authorized_official_last_name": "OXENBERG",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "DENNIS",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "717-394-3798",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001229",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "PA",
"license": "OEG001229",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "PA",
"license": "OEG001229",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "PA",
"license": "OEG001229",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": "PA",
"license": "OEG001229",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "PA",
"license": "OEG001229",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": "PA",
"license": "OEG001229",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1234040",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.