Individual
DR. LARRY WAYNE RITTER
Active
Individual
DR. LARRY WAYNE RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
0618002166
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000379
BC & BS
ME
01
—
0468580001
MEDICARE DMEPOS
ME
05
—
1710017587
—
VA
01
—
410011944
RAILROAD MEDICARE
ME
Enumeration date
03/07/2007
Last updated
02/26/2014
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