Organization
DR LARSEN EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C LARSEN OD (OWNER)
(801) 513-9951
Entity
Organization
Contact information
Practice address
7071 N 138TH AVE # 1552, LUKE AFB, AZ 85307-2006
(623) 536-0332
Mailing address
3025 W 75 N, LAYTON, UT 84041-5747
(801) 513-9951
(801) 779-9942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
375876-9934
UT
Other
Enumeration date
06/11/2014
Last updated
01/02/2015
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