Larson, Bobby Harold

Larson, Bobby Harold is an individual health care provider with primary practice located at 125 Randolph Rd , Oak Ridge TN 37830-5028. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Larson, Bobby Harold can be contacted via phone (865) 482-7565.

Contact Information

Primary practice address
125 Randolph Rd Oak Ridge TN 37830-5028
Phone: (865) 482-7565
Fax: (865) 482-7551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD0677 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X 89OD Kentucky

Profile Details

NPI number 1770553620
LBN Legal business name Larson, Bobby Harold
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770553620 NPPES
Tennessee Other 0122010 CLARITY VISION
Tennessee Other 44608 CLARITY VISION
Tennessee Other 3123670 CLARITY VISION

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