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
504 A ST MCCHORD MAIN EXCHANGE, FT. LEWIS MCCHORD AFB, WA 98438
(801) 513-9951
Mailing address
3025 W 75 N, LAYTON, UT 84041-5747
(801) 513-9951
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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