Larry Randall Henry, O.D. Valid NPI
Individual provider · Optometrist · Edmond, OK
- NPI
- 1932102894
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 2040 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-05-24
- Last updated
- 2008-05-08
Practice location
14701 N Santa Fe Ave
Edmond, OK 73013-3411
(405) 752-2733