# LARRY J. CAMINITA, O.D. (APC)

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750589750
- **Authorized official:** LARRY JOHN CAMINITA O.D. (OWNER/OPTOMETRIST)
- **Authorized official phone:** (504) 347-6330

## Contact information

- **Practice address:** 1111 MEDICAL CENTER BLVD, SUITE 111, MARRERO, LA 70072-3151
- **Practice address phone:** (504) 347-6330
- **Practice address fax:** (504) 347-6338
- **Mailing address:** 1111 MEDICAL CENTER BLVD, SUITE 111, MARRERO, LA 70072-3151
- **Mailing address phone:** (504) 347-6330
- **Mailing address fax:** (504) 347-6338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 859216T | LA | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 06/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1372528 | — | LA |