Larry J Latour Od Pa is a medicare enrolled "Optometrist" provider in Alachua, Florida. Their current practice location is
15551 Nw 441 Unit 110, Alachua, Florida. You can reach out to their office (for appointments etc.) via phone at
(386) 462-7772.
Larry J Latour Od Pa is licensed to practice in Florida (license number OPC0001543) and it also participates in the medicare program. Larry J Latour Od Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1770593295.
Healthcare Provider's Profile
Full Name | Larry J Latour Od Pa |
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Type | Facility |
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Speciality | Optometrist |
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Location | 15551 Nw 441 Unit 110, Alachua, Florida |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770593295
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 10/22/2012
Medicare PECOS Information:
- PECOS PAC ID: 5496912453
- Enrollment ID: O20120202000031
Medical Identifiers
Medical identifiers for Larry J Latour Od Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770593295 | NPI | - | NPPES |
078166500 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OPC0001543 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Larry J Latour Od Pa acts as a billing entity for following providers:
Provider Name | Larry Latour |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1114191012 PECOS PAC ID: 3173718285 Enrollment ID: I20120202000111 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry J Latour Od Pa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Larry J Latour Od Pa Po Box 2170, Alachua, FL 32616 Ph: (386) 462-7772 | Larry J Latour Od Pa 15551 Nw 441 Unit 110, Alachua, FL 32616 Ph: (386) 462-7772 |
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