Larry Joe Lewis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

768 Issued in OK

Practice address

14975 Bypass St
Choctaw, OK 73020-8504

Phone

(405) 390-9106

Fax

(405) 390-1105

NPI assigned

Jul 29, 2005

Last updated

Jan 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lewis & Lewis Eye Care Clinic, P. C.

  • Optometrist
  • Choctaw, OK
  • NPI 1548483100
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1952301095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14975 BYPASS ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208504",
            "telephone_number": "405-390-9106",
            "fax_number": "405-390-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14975 BYPASS ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208504",
            "telephone_number": "405-390-9106",
            "fax_number": "405-390-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LARRY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA DMERC",
            "identifier": "1317550002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Landrith
• T'Asia Tyrel Lashane Laskey
• Leslie Katharine Rogers
• Brandon Ray Lewelling, DPT
• Lewis & Lewis Eye Care Clinic, P. C.
• Stephanie Lewis, LMSW
• Terry Neal Lewis, O.D.
• Dusharme Llanusa, MLA
• Gerardo Lopez Mejia, M.D.
• Deesha Brooke Lornes, FNP-BC

• Optometrist in Choctaw, OK
• Providers in Choctaw, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.