Dr. Larry L. Olsen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

881 Issued in OK

Legal business name

DR. LARRY L. OLSEN, O.D.

Practice address

501 E 15TH St
Ste 101
Edmond, OK 73013-5043

Phone

(405) 341-2062

Fax

(405) 341-6553

NPI assigned

Apr 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Larry L. Olsen, O.D.

Title

Owner

Phone

(405) 341-2062

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1730353897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E 15TH ST",
            "address_2": "STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135043",
            "telephone_number": "405-341-2062",
            "fax_number": "405-341-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 15TH ST",
            "address_2": "STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135043",
            "telephone_number": "405-341-2062",
            "fax_number": "405-341-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LARRY L. OLSEN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-341-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "881",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Edmond, OK
• Providers in Edmond, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.