Folsom Optometry Center

NPI #1871769950 in Folsom, California

Provider Information

NPI Number: 1871769950
Entity Type: Organization
Organization Name: Folsom Optometry Center
Primary Specialty: Optometrist
Enumeration Date: May 7, 2008
Last Updated: May 7, 2008

Practice Location

Address: 1115 E BIDWELL ST STE 124
City: Folsom
State: California
ZIP Code: 95630-5554
Phone: (916) 983-1066

Authorized Official

Name: LARRANCE EDWIN LARSON
Title: OWNER/OPTOMETRIST
Phone: (916) 983-1066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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