Organization
DR. ALAN C. LARSEN, OPTOMETRIST, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN C LARSEN OD (OPTOMETRIST, OWNER)
(325) 949-5750
Entity
Organization
Contact information
Practice address
2705 SHERWOOD WAY, SAN ANGELO, TX 76901-3091
(325) 949-5750
(325) 227-8254
Mailing address
2705 SHERWOOD WAY, SAN ANGELO, TX 76901-3091
(325) 949-5750
(325) 227-8254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3962-TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093364001
—
TX
Enumeration date
01/26/2016
Last updated
10/23/2020
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