Provider Demographics
NPI:1255966966
Name:LARKIN OD LLC
Entity type:Organization
Organization Name:LARKIN OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-392-4111
Mailing Address - Street 1:323 SW 145TH TER STE 3050
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1444
Mailing Address - Country:US
Mailing Address - Phone:954-392-4111
Mailing Address - Fax:954-392-4113
Practice Address - Street 1:323 SW 145TH TER STE 3050
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1444
Practice Address - Country:US
Practice Address - Phone:954-392-4111
Practice Address - Fax:954-392-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty