Organization Active NPI

Dr. Larry Womack & Associates, Optometrists, P.C.

  • Corneal and Contact Management Optometrist
  • Manchester, TN
National Provider Identifier
1568682425
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2568 Issued in TN
Legal business name
DR. LARRY WOMACK & ASSOCIATES, OPTOMETRISTS, P.C.
Practice address
2518 Hillsboro Blvd
Manchester, TN 37355-6535
Phone
(931) 723-8882
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Larry Womack, O.D.
Title
Optometrist
Phone
(931) 474-5506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 2568 TN Primary

Addresses

Primary practice location

2518 Hillsboro Blvd
Manchester, TN 37355-6535

Mailing address

203 S Arrowhead Dr
MC Minnville, TN 37110-2934

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568682425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ARROWHEAD DR",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371102934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373556535",
            "telephone_number": "931-723-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LARRY WOMACK & ASSOCIATES, OPTOMETRISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "931-474-5506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "2568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.