Active NPI
Larry Clay Cotten, OPTICIAN
- Optician
- Lake Worth, TX
National Provider Identifier
1851623482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 090096
- Practice address
- 6306 Lake Worth Blvd
Suite a
Lake Worth, TX 76135-3608 - Phone
- (817) 626-9533
- NPI assigned
- Feb 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 090096 | TX | Primary |
Addresses
Primary practice location
6306 Lake Worth Blvd
Suite a
Lake Worth, TX 76135-3608
Mailing address
6306 Lake Worth Blvd
Suite a
Lake Worth, TEXAS 76135
UM
Phone (817) 626-9533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090096 | TX | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265500800000",
"number": "1851623482",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "6306 LAKE WORTH BLVD",
"address_2": "SUITE A",
"city": "LAKE WORTH",
"state": "TEXAS",
"postal_code": "76135",
"telephone_number": "817-626-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6306 LAKE WORTH BLVD",
"address_2": "SUITE A",
"city": "LAKE WORTH",
"state": "TX",
"postal_code": "761353608",
"telephone_number": "817-626-9533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTEN",
"first_name": "LARRY",
"middle_name": "CLAY",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-07",
"last_updated": "2010-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "TX",
"license": "090096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.