Organization
FOLSOM OPTOMETRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRANCE EDWIN LARSON (OWNER/OPTOMETRIST)
(916) 983-1066
Entity
Organization
Contact information
Practice address
1115 E BIDWELL ST STE 124, FOLSOM, CA 95630-5554
(916) 983-1066
(916) 984-6922
Mailing address
1115 E BIDWELL ST STE 124, FOLSOM, CA 95630-5554
(916) 983-1066
(916) 984-6922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6725T
CA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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