Jason Mark Larsen is a Optometrist in Yreka, California. Jason Mark Larsen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jason Mark Larsen is 1407895964. The last update date is 2007-12-17.
Jason Mark Larsen's current location address is 2524 Westside Rd, Yreka, California. You can contact this provider via phone number 5308422760. The mailing address for Jason Mark Larsen is 2524 Westside Rd, Yreka, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Mark Larsen |
|---|---|
| Address | 2524 Westside Rd, Yreka, California |
| Phone Number | 5308422760 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1407895964 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 2524 Westside Rd |
|---|---|
| City | Yreka |
| State | California (CA) |
| Post Code | 960979129 |
| Phone Number | 5308422760 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT12133TPA |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SDO121330 | CA | -- | |
| ZZZ13445Z | CA | MEDICARE GROUP NUMBER |
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What is the unique 10-digit identifier code assigned to Jason Mark Larsen by the Centers for Medicare & Medicaid Services?
The Jason Mark Larsen has been issued the NPI (National Provider Identifier) 1407895964 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jason Mark Larsen located?
The Jason Mark Larsen is located at 2524 Westside Rd, Yreka, CA 960979129.
What is the Jason Mark Larsen's specialty and taxonomy code?
The Jason Mark Larsen's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
When did Jason Mark Larsen receive its 1407895964 assignment?
The Jason Mark Larsen was assigned its 1407895964 on 2006-06-06, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jason Mark Larsen most recently updated or revised?
The details related to Jason Mark Larsen, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-17.