Active NPI
Larry Wayne Carr, O.D.
- Occupational Vision Optometrist
- Saint Marys, WV
National Provider Identifier
1508869298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- WV723OD
- Practice address
- 214 Washington St
Saint Marys, WV 26170-1041 - Phone
- (304) 684-2491
- Fax
- (304) 684-2492
- NPI assigned
- May 27, 2005
- Last updated
- Oct 16, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | WV723OD | WV | |
| Pediatric Optometrist | 152WP0200X | WV723OD | WV | |
| Sports Vision Optometrist | 152WS0006X | WV723OD | WV | |
| Occupational Vision Optometrist | 152WX0102X | WV723OD | WV | Primary |
Addresses
Primary practice location
214 Washington St
Saint Marys, WV 26170-1041
Mailing address
416 S Bradfield Dr
Saint Marys, WV 26170-9771
Phone (304) 684-9594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149409000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
214 Washington St
St Marys, WV 26170-1041
Phone (304) 684-2491
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV723OD | WV | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Larry W Carr PC | Current | Accepting new patients |
Locations
214 Washington St
Saint Marys, WV 26170
Phone (304) 624-2491
Organizations & group practices 1
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.
-
- Optometrist
- Saint Marys, WV
- NPI 1356446082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1508869298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 S BRADFIELD DR",
"city": "SAINT MARYS",
"state": "WV",
"postal_code": "261709771",
"telephone_number": "304-684-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 WASHINGTON ST",
"city": "SAINT MARYS",
"state": "WV",
"postal_code": "261701041",
"telephone_number": "304-684-2491",
"fax_number": "304-684-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "LARRY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "WV",
"license": "WV723OD",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "WV",
"license": "WV723OD",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "WV",
"license": "WV723OD",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "WV",
"license": "WV723OD",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149409000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.