Provider Demographics
NPI:1407028137
Name:OLINGER AND LARKIN PTR
Entity type:Organization
Organization Name:OLINGER AND LARKIN PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-372-1919
Mailing Address - Street 1:1413 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-5725
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:812-375-0863
Practice Address - Street 1:1413 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-5725
Practice Address - Country:US
Practice Address - Phone:812-372-1919
Practice Address - Fax:812-375-0863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002046152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0597590001Medicare NSC
INM100038771Medicare PIN