MR. LARRY S LEWIS OD
NPI 1639117476
Optometrist in Maitland, FL

Active since June 03, 2006
790 CONCOURSE PKWY S, SUITE 200, MAITLAND, FL 32751(407) 767-6411(407) 767-8160 Get Directions Write a Review

NPPES record last updated: February 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Larry S Lewis Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY S LEWIS OD (NPI 1639117476) is an individual optometrist in Maitland, Florida, licensed in Florida (OPC2190) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1639117476
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. LARRY S LEWISCredential: OD
Location Address790 CONCOURSE PKWY S, SUITE 200Maitland, FL 32751-6114
Mailing Address1033 Dr Martin Luther King Jr St N, Suite 108St Petersburg, FL 33701-1547 · (727) 322-7920 · Fax (727) 322-7921
Fax(407) 767-8160
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateFebruary 25, 2014
NPI 1639117476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in FL · OPC2190
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
790 CONCOURSE PKWY S, Maitland, FL 32751

Other Identifiers 7

Medicare UPINT84252FL
Medicaid078800700FL
Medicare PIN1125957FL
Medicare PIN19447VFL
Medicare PIN19447WFL
Medicare PIN410028807FL
Medicare PIN1125961FL

Accepted Insurance

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751
Ophthalmology (Glaucoma Specialist)
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751
Ophthalmology (Neuro-ophthalmology)
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751
Pediatrics
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
790 CONCOURSE PKWY S, STE. 200
MAITLAND, FL 32751
Audiologist
790 CONCOURSE PKWY S, STE. 110
MAITLAND, FL 32751
Ophthalmology
790 CONCOURSE PKWY S, SUITE 200
MAITLAND, FL 32751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Lewis's NPI number?

The NPI number for Larry Lewis is 1639117476. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Larry Lewis located?

Larry Lewis practices at 790 Concourse Pkwy S Suite 200, Maitland, FL 32751. The listed phone number is (407) 767-6411.

What is Larry Lewis's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Larry Lewis accept?

Health plans from Ambetter Health and Ambetter from Superior HealthPlan list Larry Lewis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larry Lewis was last updated on February 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.