LARRY L. MINIX OPTICIAN NPI 1467626648

NPI Information

NPI: 1467626648
Provider Name: LARRY L. MINIX, OPTICIAN
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
1115 TAMARACK RD
SUITE 100
OWENSBORO, KY
ZIP 42301
Phone: (270) 926-4933
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Larry L. Minix, OPTICIAN is an optician technician technologist in Owensboro, KY. Larry L. Minix, OPTICIAN NPI is 1467626648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1115 TAMARACK RD
SUITE 100
OWENSBORO, KY
ZIP 42301-984
Phone: (270) 926-4933
Fax: (270) 688-0627

The enumeration date for this NPI number is 4/17/2008 and was last updated on 4/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	KY0394	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	52903945	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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