Larry W. Decker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4731TG Issued in TX

Practice address

2311 S Jefferson Ave
Suite 20/20
Mount Pleasant, TX 75455-6011

Phone

(903) 577-8946

Fax

(903) 577-8951

NPI assigned

May 23, 2007

Last updated

Feb 16, 2010By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Decker Vision Group

  • Optometrist
  • Mount Pleasant, TX
  • NPI 1972731081
  Authorized official Same address or phone

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1457561060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 S JEFFERSON AVE",
            "address_2": "SUITE 20/20",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754556011",
            "telephone_number": "903-577-8946",
            "fax_number": "903-577-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 S JEFFERSON AVE",
            "address_2": "SUITE 20/20",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754556011",
            "telephone_number": "903-577-8946",
            "fax_number": "903-577-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "LARRY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4731TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019181901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dbacs Drug & Alcohol Testing LLC
• Rosa Maria De la Cerda-Blanc, PA-C
• Jessica Kay De Souza, PT
• Jacob Deal, DPT, PT
• Decker Vision Group
• Craig Martin Delisi, M.D.
• Charla Lambert Denman, FNP-BC, NP-C
• Adelle Deborah Dishaw, C.N.M.,M.S.N.
• John David Dixon, RN
• Jamie Lea Doan, LPC

• Optometrist in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.