LARRY TATE (NPI# 1336559186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336559186 |
| Entity Type | Individual |
| Full Name | LARRY TATE |
| Credential | LDO |
| Practice Address |
107 Kentucky Street Corbin KY 40701 |
| Mailing Address |
Po Box 420 Corbin KY 40702-0420 |
| Practice Telephone | 6065282833 |
| Practice Fax Number | 6065282862 |
| Mailing Telephone | 6065282833 |
| Mailing Fax Number | 6065282862 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
0567 | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 52905676 | 05 |
| Street Address |
107 KENTUCKY STREET |
| City | CORBIN |
| State | KY |
| Zip Code | 40701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164568028 | Corbin Optical Co Inc | Eyewear Supplier (Equipment, not the service) | 107 Kentucky Street, Corbin, KY 40701 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229098 | Lisa Nicholas | Technician/Technologist | 1707 Cumberland Falls Hwy Ste U4, Corbin, KY 40701-2744 | 2019-01-29 |
| 1730369034 | James Michael Strozyk | Technician/Technologist | 1226 Cumberland Falls Hwy, Corbin, KY 40701-2717 | 2007-11-05 |
| 1609071679 | South East Eyecare Psc | Technician/Technologist | 1707 Falls Road Plaza, Suite U-4, Corbin, KY 40701 | 2007-06-19 |
| 1154406734 | Wal-mart Stores East, Lp | Technician/Technologist | 60 S Stewart Rd, Corbin, KY 40701-4675 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898127 | Donald Keith Newland | Technician/Technologist | 8107 La Grange Rd, Louisville, KY 40222-3817 | 2019-12-12 |
| 1760045231 | Nancy M Naiser | Technician/Technologist | 140 W Pike St, Covington, KY 41011-2310 | 2019-04-19 |
| 1376011494 | Brian D Blevins | Technician/Technologist | 30 Highland Meadows Cir Ste 11, Highland Heights, KY 41076-1788 | 2018-11-06 |
| 1720578446 | Kenneth Antonio Shoats Jr. | Technician/Technologist | 1325 Bardstown Rd, Louisville, KY 40204-1319 | 2018-05-17 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1932568235 | Wal-mart Stores East, Lp | Technician/Technologist | 6501 Veterens Memorial Pkwy, Crestwood, KY 40014-8694 | 2016-02-15 |
| 1740614866 | Christopher Michael Boston I | Technician/Technologist | 7951 Hopeful Church Rd, Florence, KY 41042-7922 | 2013-08-26 |
| 1003157199 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4993-4995 Houston Road, Florence, KY 41042 | 2013-03-14 |
| 1982955274 | Mel Len Dukes | Technician/Technologist | 110 W Everly Brothers Blvd Ste G, Central City, KY 42330-2708 | 2012-09-26 |
| 1942581715 | Retina Associates, Psc | Technician/Technologist | 10731 Hwy 44 E, Mt Washington, KY 40047 | 2011-09-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.