Larry J Latour Od Pa | |
15551 Nw 441 Unit 110, Alachua, FL 32616 | |
(386) 462-7772 | |
(386) 462-1122 |
Full Name | Larry J Latour Od Pa |
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Type | Facility |
Speciality | Optometrist |
Location | 15551 Nw 441 Unit 110, Alachua, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770593295 | NPI | - | NPPES |
078166500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OPC0001543 (Florida) | Primary |
Provider Name | Larry Latour |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114191012 PECOS PAC ID: 3173718285 Enrollment ID: I20120202000111 |
Mailing Address | Practice Location Address |
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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 |
Dr. Larry J Latour, O.D. P.A. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15551 Nw Us Highway 441 Unit 110, Alachua, FL 32615 Phone: 386-462-7772 Fax: 386-462-1122 | |
Alachua Family Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16181 Nw Us Highway 441, Ste 140, Alachua, FL 32615 Phone: 352-792-1610 |