Larry N. Gates O.D.,P.C.
Organization Active NPI Optometrist · Pearsall, TX
NPI 1689609117 · NPPES record last updated Nov 11, 2008
Key facts
- NPI
- 1689609117
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2313TG (TX)
- Legal business name
- LARRY N. GATES O.D.,P.C.
- Practice address
- 315 E Colorado St
Pearsall, TX 78061-3207 - Phone
- (830) 334-8077
- Fax
- (830) 334-8079
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Larry N. Gates, O.D.
- Title
- President
- Phone
- (830) 334-8077
National Provider Directory
Locations
1514 W Oaklawn Rd
Pleasanton, TX 78064
Phone (830) 569-4242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2313TG | TX | Yes |
Addresses
Primary practice location
315 E Colorado St
Pearsall, TX 78061-3207
Mailing address
315 E Colorado St
Pearsall, TX 78061-3207
Phone (830) 334-8077
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019182701 | Medicaid | TX |
Other providers in Pearsall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2008. 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.