Active NPI
Larry Richard Kosmerick III, OD
- Optometrist
- Salisbury, NC
National Provider Identifier
1437097433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2026026056
- Practice address
- 1601 Brenner Ave FL 2
Salisbury, NC 28144-2515 - Phone
- (704) 638-9000
- NPI assigned
- Mar 23, 2026
- Reactivated
- Jul 22, 2026
- Last updated
- Jul 26, 2026
- 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 | 2026026056 | MO | Primary |
Addresses
Primary practice location
1601 Brenner Ave FL 2
Salisbury, NC 28144-2515
Mailing address
1601 Brenner Ave FL 2
Salisbury, NC 28144-2515
Phone (704) 638-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785024000000",
"number": "1437097433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 BRENNER AVE FL 2",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442515",
"telephone_number": "704-638-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRENNER AVE FL 2",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442515",
"telephone_number": "704-638-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSMERICK",
"first_name": "LARRY",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-23",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"deactivation_date": "2026-06-10",
"reactivation_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2026026056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.