Organization
LARRY J TAYLOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY J. TAYLOR O.D. (OWNER)
(319) 754-5518
Entity
Organization
Contact information
Practice address
3031 FLINT HILLS DR, BURLINGTON, IA 52601-1754
(319) 754-5518
Mailing address
3031 FLINT HILLS DR, BURLINGTON, IA 52601-1754
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1580
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011866
—
IA
01
—
10279
BCBS
IA
Enumeration date
05/12/2006
Last updated
10/27/2014
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