Alan L Latourette Estate Vicki C Latourette Ex

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ALAN L LATOURETTE ESTATE VICKI C LATOURETTE EX

Doing business as

Tri State Optical Center

Practice address

1401 W Walnut St
Rogers, AR 72756-3317

Phone

(479) 636-2012

Fax

(479) 631-7416

NPI assigned

Sep 30, 2010

Last updated

Mar 29, 2011By 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

Mrs. Vicki C Latourette

Title

Executrix of Alan Latourette Estate

Phone

(479) 636-2012

Specialties & licenses 1

Addresses

Other names 1

• Tri State Optical Center Doing business as

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1992014526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563317",
            "telephone_number": "479-636-2012",
            "fax_number": "479-631-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563317",
            "telephone_number": "479-636-2012",
            "fax_number": "479-631-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN L LATOURETTE ESTATE VICKI C LATOURETTE EX",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "LATOURETTE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTRIX OF ALAN LATOURETTE ESTATE",
        "authorized_official_telephone_number": "479-636-2012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri State Optical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orlando F Aguilar-Guzman, MD
• David C Aiken, CRNA
• Donna F Aitoumeziane, RPH
• Asad Shahab Akhter, MD
• Kari Akins
• Alan L. Latourette ,O.D.
• Jordan Alcon, MS CCC-SLP
• Aubree Alden
• Kaylee Alder, M.S., CCC-SLP
• Alex Endocrine Associates, PA

• Optometrist in Rogers, AR
• Providers in Rogers, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.