Larry Tate, LDO
NPI 1336559186 · on the registry since 2014 · sole proprietor
Practice
- Address
- 107 Kentucky Street
Corbin, KY 40701 - Phone
- (606) 528-2833
- Fax
- (606) 528-2862
- Organisation at this address
- Corbin Optical Co Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky