LARRY D TERRY A PROFESSIONAL CORPORATION (NPI# 1811217383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811217383 |
| Entity Type | Organization |
| Organization Name | LARRY D TERRY A PROFESSIONAL CORPORATION |
| Other Organization Name | BOX ELDER FAMILY VISION |
| Practice Address |
34 S Main St Brigham City UT 84302-2527 |
| Practice Telephone | 4357232485 |
| Practice Fax Number | 4357235840 |
| Mailing Telephone | 4357232485 |
| Mailing Fax Number | 4357235840 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | DR. LARRY DEAN TERRY (OWNER) |
| Authorized Official Telephone | 4357232485 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1125909934 | UT | Suppliers |
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 528920068006 | 05 |
| Other Name | Type Code |
|---|---|
| Box Elder Family Vision | Doing Business As Name - Organization |
| Street Address |
34 S MAIN ST |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437137379 | Larry D Terry | Optometrist | 34 S Main St, Brigham City, UT 84302-2527 | 2005-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497015382 | Eye & Vision Care, LLC | Optometrist | 547 S Main St, Brigham City, UT 84302-3244 | 2012-05-24 |
| 1386694677 | Scott Roberts Haderlie | Optometrist | 747 S Main St, Brigham City, UT 84302-3359 | 2006-05-10 |
| 1487653218 | David P. Lewis | Optometrist | 990 South Medical Dr, Suite G3, Brigham City, UT 84302-3077 | 2005-07-14 |
| 1235138066 | Richard J. Bigler | Optometrist | 990 South Medical Drive, Suite Gl3, Brigham City, UT 84302 | 2005-07-14 |
| 1033471339 | Joseph C. Olson | Optometrist | 547 S Main St, Brigham City, UT 84302-3244 | 2012-06-12 |
| 1427115831 | David P. Lewis Md PC | Optometrist | 990 Medical Dr, Brigham City, UT 84302-4713 | 2007-01-03 |
| 1124068788 | William L Harrison | Optometrist | 111 E Forest St, Suite E, Brigham City, UT 84302-2127 | 2006-06-08 |
| 1700839545 | Shopko Stores Operating Co. LLC | Optometrist | 747 S Main St, Brigham City, UT 84302-3359 | 2006-05-19 |
| 1437137379 | Larry D Terry | Optometrist | 34 S Main St, Brigham City, UT 84302-2527 | 2005-12-31 |
| Find all providers in BRIGHAM CITY | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
Please comment or provide details below to improve the information on LARRY D TERRY A PROFESSIONAL CORPORATION.
| 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.