LARRY KENNETH ANDREO M.D. NPI 1568556157

NPI Information

  • NPI: 1568556157
  • Provider Name: LARRY KENNETH ANDREO, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • Address: 4500 STUART STREET
    MONCRIEF ARMY COMMUNITY HOSPITAL, ATTN: MCXL-PQ (CREDE
    FORT JACKSON, SC
    ZIP 29207
  • Phone: (803) 751-2618

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NPI Details

Larry Kenneth Andreo, M.D. is an ophthalmology in Fort Jackson, SC. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Larry Kenneth Andreo, M.D. NPI is 1568556157. 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:

4500 STUART STREET
MONCRIEF ARMY COMMUNITY HOSPITAL, ATTN: MCXL-PQ (CREDE
FORT JACKSON, SC
ZIP 29207-720
Phone: (803) 751-2618
Fax: (803) 751-2689

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/9/2007.

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
1207W00000XOphthalmology28391KENTUCKYYes

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
1VAD-000MEDICARE UPINSOUTH CAROLINA

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: 11/21/2025

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