Larry L. Olsen, O.D. Valid NPI
Individual provider · Optometrist · Edmond, OK
- NPI
- 1740240852
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 881 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-03-23
- Last updated
- 2008-04-20
Practice location
501 E 15th St, Suite 101
Edmond, OK 73013-5043
(405) 341-2062