Individual
DR. LARRY WAYNE CARR
Active
Individual
DR. LARRY WAYNE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
WV723OD
WV
152WP0200X
Pediatric Optometrist
WV723OD
WV
152WS0006X
Sports Vision Optometrist
WV723OD
WV
152WX0102X
Occupational Vision Optometrist
Primary
WV723OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149409000
—
WV
Enumeration date
05/27/2005
Last updated
10/16/2007
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