| Larry Lee Nicholson Ii Od | |
|
19870 Main St E, Huntingdon, TN 38344-3927 | |
| (731) 986-4400 | |
| (731) 986-7981 |
| Full Name | Larry Lee Nicholson Ii Od |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 19870 Main St E, Huntingdon, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477595783 | NPI | - | NPPES |
| DB9347 | Other | TN | RAILROAD MEDICARE |
| 3946177 | Other | TN | MEDICARE INDIVIUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Larry L Nicholson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053313338 PECOS PAC ID: 8325019391 Enrollment ID: I20040803001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Lee Nicholson Ii Od 19870 Main St E, Huntingdon, TN 38344-3927 Ph: (731) 986-4400 | Larry Lee Nicholson Ii Od 19870 Main St E, Huntingdon, TN 38344-3927 Ph: (731) 986-4400 |
Dr. Larry Lee Nicholson Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19870 Main E St, Huntingdon, TN 38344 Phone: 731-986-4400 Fax: 731-986-7981 | |
Dr. Charles Anthony Thomason, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12707 Lexington St, Huntingdon, TN 38344 Phone: 731-986-4932 Fax: 731-986-4932 | |
Dr. Hughlon Brown Scarbrough Jr., O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 159 Court Sq, Huntingdon, TN 38344 Phone: 731-986-4162 Fax: 731-986-4151 | |
West Tennessee Senior Eyecare Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 460 Tara Ln, Huntingdon, TN 38344 Phone: 731-415-9368 Fax: 731-986-7981 | |
Hugh Scarbrough Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 159 Court Sq, Huntingdon, TN 38344 Phone: 731-986-4162 Fax: 731-986-4151 |