Individual
DR. LARRY DENNIS OXENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001229
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG001229
PA
152WP0200X
Pediatric Optometrist
OEG001229
PA
152WX0102X
Occupational Vision Optometrist
OEG001229
PA
Other
Enumeration date
11/21/2005
Last updated
06/11/2021
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