Individual
ERIC NOEL LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7324 W CHEYENNE AVE, SUITE 1, LAS VEGAS, NV 89129-7427
(702) 259-3937
(702) 645-6402
Mailing address
7324 W CHEYENNE AVE, SUITE 1, LAS VEGAS, NV 89129-7427
(702) 259-3937
(702) 645-6402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
880426207
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05101
MES
NV
05
—
2502015
—
NV
01
—
5840350
AETNA
NV
01
—
NV0223
NV LICENSE
NV
Enumeration date
11/02/2006
Last updated
12/23/2008
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