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Larry Lewis, OD
NPI 1639117476 · Optometrist · Maitland, FL
Larry Lewis, OD is a Optometrist provider in Maitland, FL (NPI 1639117476).
Provider details
- NPI number
- 1639117476
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OPC2190 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
790 Concourse Pkwy S
Suite 200
Maitland, FL 32751-6114
Phone: (407) 767-6411
Fax: (407) 767-8160
Street-level locationGet directions
Mailing address
1033 Dr Martin Luther King Jr St N
St Petersburg, FL 33701-1547
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2014-02-25
Frequently asked questions
- What is Larry Lewis's NPI number?
- Larry Lewis's National Provider Identifier (NPI) is 1639117476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Lewis's specialty?
- Larry Lewis is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Larry Lewis located?
- Larry Lewis's practice location on file with NPPES is 790 Concourse Pkwy S, Maitland, FL 32751-6114.
- What is Larry Lewis's phone number?
- The practice phone number listed in the NPPES registry for Larry Lewis is (407) 767-6411.
- Is Larry Lewis's NPI active?
- Yes — Larry Lewis's NPI (1639117476) is active in the NPPES registry as of the last update on 2014-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.