Larry Womack, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

7885 Issued in ND

Practice address

3003 32ND Ave S
Fargo, ND 58103-6163

Phone

(701) 293-8101

Fax

(701) 293-7998

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952528853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036163",
            "telephone_number": "701-293-8101",
            "fax_number": "701-293-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036163",
            "telephone_number": "701-293-8101",
            "fax_number": "701-293-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "LARRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "7885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry L Wolff, DO
• Jennifer Lynn Wollan
• Emily Marshelle Wolters, APRN-CRNA
• Erin Wolters, RN
• Megan Wolters
• Women Initiative Network of Liberia in Cass & Clay Counties
• Joseph Arthur Wonderlich, PH.D.
• Stephen A Wonderlich, PHD
• Earl Wood, LAPC
• Kathleen Ann Wood, MD

• Ophthalmology Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Ophthalmology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.