Individual
DR. BOBBY HAROLD LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
89OD
KY
152W00000X
Optometrist
Primary
OD0677
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122010
CLARITY VISION
TN
01
—
3123670
BLUE CROSS BLUE SHIELD
NE
01
—
44608
DAVIS VISION
TN
Enumeration date
01/24/2006
Last updated
07/13/2026
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