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LARRY-W-BLOOMINGBURG-OD
NPI 1952571895
Eyewear Supplier in Henderson, TN

Active since March 06, 2008
138 S WASHINGTON AVE, HENDERSON, TN 38340(731) 989-3511(731) 989-3515 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry-w-bloomingburg-od NPPES

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

LARRY-W-BLOOMINGBURG-OD (NPI 1952571895) is a healthcare organization registered as an eyewear supplier in Henderson, Tennessee and active in the NPI registry since March 2008. The organization lists Larry W Bllomingburg, Owner, as its authorized official.

NPPES Registry Identity

NPI1952571895
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameLARRY-W-BLOOMINGBURG-OD
Location Address138 S WASHINGTON AVEHenderson, TN 38340-2323
Mailing Address138 S Washington AveHenderson, TN 38340-2323 · (731) 989-3511 · Fax (731) 989-3515
Phone(731) 989-3511
Fax(731) 989-3515
Organization SubpartNo
Authorized OfficialLarry W BllomingburgOwner · (731) 989-3511
Enumeration DateMarch 6, 2008
✔ NPI 1952571895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in TN · 573
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
138 S WASHINGTON AVE, Henderson, TN 38340
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC0123960001TN

Other Providers at the Same Location NPPES 3

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

PHELPS EYE CARE, PLLC
Optometrist
138 S WASHINGTON AVE
HENDERSON, TN 38340
Chester County (731) 989-3511
SAMUEL ADAM PHELPS O.D.
Optometrist
138 S WASHINGTON AVE
HENDERSON, TN 38340
Chester County (731) 989-3511
DR. L. W. BLOOMINGBURG O.D.
Optometrist
138 S WASHINGTON AVE
HENDERSON, TN 38340
Chester County (731) 989-3511

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-W-Bloomingburg-Od's NPI number?

The NPI number for Larry-W-Bloomingburg-Od is 1952571895. It was assigned to this organization in the NPPES registry on March 6, 2008.

Where is Larry-W-Bloomingburg-Od located?

Larry-W-Bloomingburg-Od is located at 138 S Washington Ave, Henderson, TN 38340. The listed phone number is (731) 989-3511.

What is Larry-W-Bloomingburg-Od's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Larry-W-Bloomingburg-Od was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.