Individual
DR. LARRY L. OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
501 E 15TH ST, SUITE 101, EDMOND, OK 73013-5043
(405) 341-2062
(405) 341-6553
Mailing address
501 E 15TH ST, SUITE 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
03/23/2006
Last updated
04/20/2008
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