Individual
ALAN C LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2705 SHERWOOD WAY, SAN ANGELO, TX 76901-3091
(325) 949-5750
(325) 944-4082
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03962TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0933640-01
—
TX
Enumeration date
10/11/2005
Last updated
12/18/2020
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