Provider Type Icon

LARRY D TERRY A PROFESSIONAL CORPORATION NPI 1811217383


NPI Information

NPI: 1811217383
Provider Name: LARRY D TERRY A PROFESSIONAL CORPORATION

Doing Business As: BOX ELDER FAMILY VISION

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
34 S MAIN ST
BRIGHAM CITY, UT
ZIP 84302
Phone: (435) 723-2485
Get Directions

LARRY D TERRY A PROFESSIONAL CORPORATION is an optometrist in Brigham City, UT. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. LARRY D TERRY A PROFESSIONAL CORPORATION NPI is 1811217383. The provider is registered as an organization entity type.
The provider Is Doing Business As Box Elder Family Vision.

The provider's business location address is:

34 S MAIN ST
BRIGHAM CITY, UT
ZIP 84302-527
Phone: (435) 723-2485
Fax: (435) 723-5840

The provider's authorized official is Larry Dean Terry .
The authorized official title is Owner and has the following contact phone number (435) 723-2485.

The enumeration date for this NPI number is 6/8/2010 and was last updated on 10/2/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier1125909934UTAHNo
2152W00000XOptometristYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1528920068006MEDICAIDUTAH

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.