Lawrence A. Taylor, ABOC
Individual provider Active NPI Optician · Anamosa, IA
NPI 1649358607 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649358607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- ABOC 8497 (IA)
- Practice address
- 126 E Main St
Anamosa, IA 52205-1960 - Phone
- (319) 462-4449
- Fax
- (319) 462-4449
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABOC 8497 | IA | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | ABOC 8497 | IA | Yes |
Addresses
Primary practice location
126 E Main St
Anamosa, IA 52205-1960
Mailing address
126 E Main St
Anamosa, IA 52205-1960
Phone (319) 462-4449
Other providers in Anamosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.