Organization
LARSEN VISION CLINIC PC
Active
Other names
First Street Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN PATRICK LARSEN O.D. (OPTOMETRIST)
(307) 266-9988
Entity
Organization
Contact information
Practice address
1940 E 1ST ST, CASPER, WY 82601-2747
(307) 266-9988
(307) 266-9992
Mailing address
2959 PHEASANT DR, CASPER, WY 82604-4306
(307) 333-4407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
309T
WY
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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