Larry L. Minix Dba the Optical Shoppe

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

LARRY L. MINIX DBA THE OPTICAL SHOPPE

Practice address

1115 Tamarack Rd
Suite 100
Owensboro, KY 42301-6984

Phone

(270) 926-4933

Fax

(270) 688-0627

NPI assigned

Oct 2, 2006

Last updated

Sep 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry L. Minix, OPTICIAN HISNPI 1467626648

Title

Owner

Phone

(270) 926-4933

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry L. Minix, OPTICIAN

  • Optician
  • Owensboro, KY
  • NPI 1467626648
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1598858300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 TAMARACK RD",
            "address_2": "SUITE 100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016984",
            "telephone_number": "270-926-4933",
            "fax_number": "270-688-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 TAMARACK RD",
            "address_2": "SUITE 100",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016984",
            "telephone_number": "270-926-4933",
            "fax_number": "270-688-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY L. MINIX DBA THE OPTICAL SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "MINIX",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-926-4933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN HIS"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52903945",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52800315",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Sigers Lanham, LCSW
• Lindsey Lanham, LPCC
• Theresa Noelle Lanham, D.O.
• Ryan Lanser, PHARMD
• Alisha Lantrip
• Larry S Wigginton PSC
• John David Lauzon, M.D
• Alexis D Law
• Lawrence E Gering M.D., P.C.
• Lauren Alexandra Layson, MS, CCC-SLP

• Optician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Optician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.