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Contact Information

EDWIN K LARSEN, OD
1737 FIRST ST
NAPA, CA94559
 Phone: 707-226-5446
 Fax: 707-226-3772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for EDWIN K LARSEN · (Male)

NPI Number 1720154339
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/27/2006
Last updated 01/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # OPT 105050 TPA
  • CA Medicaid SD01015051
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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