Organization
20-20 SIGHT OF LAKEWOOD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DON TARRANT D.O. (DOCTOR)
(214) 773-3457
Entity
Organization
Contact information
Practice address
1905 ABRAMS RD, DALLAS, TX 75214-3916
(214) 821-2020
(972) 264-7220
Mailing address
1905 ABRAMS RD, DALLAS, TX 75214-3916
(214) 821-2020
(214) 821-2025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5597TG
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038435601
—
TX
05
—
038437201
—
TX
05
—
216013701
—
TX
Enumeration date
04/18/2013
Last updated
08/01/2014
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