Organization
DR. LARRY L. OLSEN, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY L. OLSEN O.D. (OWNER)
(405) 341-2062
Entity
Organization
Contact information
Practice address
501 E 15TH ST, STE 101, EDMOND, OK 73013-5043
(405) 341-2062
(405) 341-6553
Mailing address
501 E 15TH ST, STE 101, EDMOND, OK 73013-5043
(405) 341-2062
(405) 341-6553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
881
OK
332H00000X
Eyewear Supplier
881
OK
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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