Active NPI
Larry Noble, M.D., M.P.H., P.C.
- Ophthalmology Physician
- Provo, UT
National Provider Identifier
1871806646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1487271205
- Legal business name
- LARRY NOBLE, M.D., M.P.H., P.C.
- Practice address
- 1055 N 300 W Ste 204
Provo, UT 84604-3374 - Phone
- (801) 357-7373
- Fax
- (801) 357-7217
- NPI assigned
- Jul 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry Noble, M.D.
- Title
- Ophthalmologist/Owner
- Phone
- (801) 357-7373
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 1487271205 | UT | Primary |
Addresses
Primary practice location
1055 N 300 W Ste 204
Provo, UT 84604-3374
Mailing address
1055 N 300 W Ste 204
Provo, UT 84604-3374
Phone (801) 357-7373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Provo, UT
- NPI 1588734537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666137600000",
"number": "1871806646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 300 W STE 204",
"city": "PROVO",
"state": "UT",
"postal_code": "846043374",
"telephone_number": "801-357-7373",
"fax_number": "801-357-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 300 W STE 204",
"city": "PROVO",
"state": "UT",
"postal_code": "846043374",
"telephone_number": "801-357-7373",
"fax_number": "801-357-7217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY NOBLE, M.D., M.P.H., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-21",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A",
"authorized_official_last_name": "NOBLE",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "OPHTHALMOLOGIST/OWNER",
"authorized_official_telephone_number": "801-357-7373",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "UT",
"license": "1487271205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.