Dr Larsen Eye Care INC

NPI #1326459843 in Ft. Lewis Mcchord Afb, Washington

Provider Information

NPI Number: 1326459843
Entity Type: Organization
Organization Name: Dr Larsen Eye Care INC
Primary Specialty: Optometrist
Enumeration Date: May 19, 2014
Last Updated: May 19, 2014

Practice Location

Address: 504 A ST MCCHORD MAIN EXCHANGE
City: Ft. Lewis Mcchord Afb
State: Washington
ZIP Code: 98438
Phone: (801) 513-9951

Authorized Official

Name: MICHAEL C LARSEN, OD
Title: OWNER
Phone: (801) 513-9951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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