Organization Active NPI

Alan L. Latourette ,O.D.

  • Optometrist
  • Rogers, AR
National Provider Identifier
1740452887
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2281 Issued in AR
Legal business name
ALAN L. LATOURETTE ,O.D.
Practice address
1401 W Walnut St
Rogers, AR 72756-3317
Phone
(479) 636-2012
Fax
(479) 631-7416
NPI assigned
Mar 28, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Alan Louis Latourette, O.D.
Title
Owner
Phone
(479) 636-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2281 AR Primary

Addresses

Primary practice location

1401 W Walnut St
Rogers, AR 72756-3317

Mailing address

1401 W Walnut St
Rogers, AR 72756-3317
Phone (479) 636-2012

Other names 1

  • Tri State Optical Center Other name

National Provider Directory

National Provider Directory

Locations

1401 W Walnut St
Rogers, AR 72756
Phone (479) 636-2012

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1740452887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563317",
            "telephone_number": "479-636-2012",
            "fax_number": "479-631-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563317",
            "telephone_number": "479-636-2012",
            "fax_number": "479-631-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN L. LATOURETTE ,O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "LATOURETTE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-636-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri State Optical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.