Larry John Smith, A.B.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DL284 Issued in CA

Practice address

351 Hospital Rd Ste 100
Newport Beach, CA 92663-3503

Phone

(949) 645-2020

Fax

(949) 645-3311

NPI assigned

May 16, 2007

Last updated

Mar 10, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1316154743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633503",
            "telephone_number": "949-645-2020",
            "fax_number": "949-645-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633503",
            "telephone_number": "949-645-2020",
            "fax_number": "949-645-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LARRY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "A.B.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "DL284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Smith
• Harper Smith, PA
• Jennifer Lyn Smith, LMFT
• Kevin Michael Smith
• Kristin Nichole Smith, MD
• Leighton John Smith, MD
• Mark Smith
• Mary Smith
• Meagan Victoria Smith, LMFT
• Melissa Marie Smith, M.D.

• Optician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.