Individual
DR. LARRY LEE NICHOLSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT2544
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0381350001
DMERC #
TN
01
—
32920
MEMPHIS MGED CARE- TLC
TN
05
—
3946177
—
TN
01
—
4086613
BCBS
TN
01
—
621149225SCA1
HEALTH PARTNERS
TN
01
—
P00137806
RAILROAD MEDICARE
TN
Enumeration date
06/01/2005
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up