Larsen, Stephen Alan
Larsen, Stephen Alan is an individual health care provider with primary practice located at 1205 N Ed Carey Dr , Harlingen TX 78550-9207. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Larsen, Stephen Alan can be contacted via phone (956) 423-2100.Contact Information
Primary practice address
1205 N Ed Carey Dr
Harlingen TX 78550-9207
Phone: (956) 423-2100
Fax: (956) 682-6280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7903TG | Texas |
Profile Details
| NPI number | 1720148604 |
|---|---|
| LBN Legal business name | Larsen, Stephen Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720148604 | NPPES |
| Texas | MEDICAID | 304451302 |
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