Bobby Harold Larson in Oak Ridge - Optometrist

Bobby Harold Larson - NPI 1770553620

Bobby Harold Larson is a Optometrist in Oak Ridge, Tennessee. Bobby Harold Larson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bobby Harold Larson is 1770553620. The last update date is 2007-07-08.

Bobby Harold Larson's current location address is 125 Randolph Rd, Oak Ridge, Tennessee. You can contact this provider via phone number 8654827565 and fax number 8654827551. The mailing address for Bobby Harold Larson is 125 Randolph Rd, Oak Ridge, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Bobby Harold Larson
Address 125 Randolph Rd, Oak Ridge, Tennessee
Phone Number 8654827565
Fax Number 8654827551
Sole Proprietor X
Credentials D.O.

NPI Number Detail

NPI Number 1770553620
Provider Enumeration Date 2006-01-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 125 Randolph Rd
City Oak Ridge
State Tennessee (TN)
Post Code 378305028
Phone Number 8654827565
Fax Number 8654827551

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OD0677
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
122010 TN CLARITY VISION
44608 TN DAVIS VISION
3123670 NE BLUE CROSS BLUE SHIELD

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FAQs about Bobby Harold Larson

What is the unique identification code assigned to Bobby Harold Larson by the Centers for Medicare & Medicaid Services?

The Bobby Harold Larson has been issued the NPI (National Provider Identifier) 1770553620. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Bobby Harold Larson?

The Bobby Harold Larson is physically situated at 125 Randolph Rd, in the city of Oak Ridge, state of TN, with the postal code 378305028.

What is Bobby Harold Larson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bobby Harold Larson is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.

On what date was the 1770553620 assigned to Bobby Harold Larson?

The Bobby Harold Larson was issued its 1770553620 on 2006-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Bobby Harold Larson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bobby Harold Larson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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