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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERRY L LATHAM, O.D.

Active Sole Proprietor

DR. JERRY L LATHAM, O.D. is a Optometrist healthcare provider located in BEDFORD, Texas. NPI 1184616831 is currently active in the NPPES registry. Verify at CMS.

Optometrist · BEDFORD, TX

Registration Details

NPI Number
1184616831
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2005 (21.011992569334 yrs)
Last Updated
Nov 25, 2020
License
2727TG (TX)
Sole Proprietor
Yes

Practice Information

Address
2600 HARWOOD RD
BEDFORD, TX, 760213700
Browse TX providers · Browse ZIP 76021
Phone
8175716688
Fax
8175716906
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in BEDFORD, TX

Name Credential NPI
DR. REEDEE GRANADO-CHANEY O.D. 1992791289
DAVID L MCPARTLIN O.D. 1871614271
DR. JENNIFER CATUNCAN O.D. 1639334246
DR. JUSTIN ELLIOTT FORD O.D. 1932540978
JACKIE DIEM WANG O.D. 1518399849
THOMAS NORELL OD 1427476399
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.