Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DYLEN ADAIR LARSEN, ABOC
Active Sole ProprietorMR. DYLEN ADAIR LARSEN, ABOC is a Optician, Dispensing healthcare provider located in BELVIDERE, Illinois. NPI 1023379773 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · BELVIDERE, IL
Registration Details
- NPI Number
- 1023379773
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2012 (14.218977023368 yrs)
- Last Updated
- May 30, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
521 SOUTH STREETSUITE 1BELVIDERE, IL, 61008Browse IL providers · Browse ZIP 61008
- Phone
- 8155201303
- Fax
- 8159759327
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.