Larry J Latour OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC0001543 Issued in FL

Legal business name

LARRY J LATOUR OD PA

Practice address

15551 NW 441 Unit 110
Alachua, FL 32616

Phone

(386) 462-7772

Fax

(386) 462-1122

NPI assigned

Aug 8, 2006

Last updated

Oct 22, 2012By 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

Larry J Latour, OD PANPI 1114191012

Title

Optometrist President

Phone

(386) 462-7772

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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 J Latour, O.D. P.A.

  • Optometrist
  • Alachua, FL
  • NPI 1114191012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1770593295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2170",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "32616",
            "telephone_number": "386-462-7772",
            "fax_number": "386-462-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15551 NW 441 UNIT 110",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "32616",
            "telephone_number": "386-462-7772",
            "fax_number": "386-462-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY J LATOUR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "LATOUR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST PRESIDENT",
        "authorized_official_telephone_number": "386-462-7772",
        "authorized_official_credential": "OD PA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0001543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078166500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn M Lacysmith, CSFA
• Melissa N Lambert, OTR/L
• Dayana Langham
• Jessica Langley, PTA
• Lani, LLC
• Larry J Latour, O.D. P.A.
• Emilie Lenes, PHD
• Joshua P Levy, L.M.T.
• Lori Listzwan
• Little Pine Pediatrics PLLC

• Optometrist in Alachua, FL
• Providers in Alachua, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.