Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLY KENDALL LARSON, O.D.
Active Sole ProprietorDR. BRADLY KENDALL LARSON, O.D. is a Optometrist healthcare provider located in SHREVEPORT, Louisiana. NPI 1053729152 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SHREVEPORT, LA
Registration Details
- NPI Number
- 1053729152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2014 (12.022063126634 yrs)
- Last Updated
- Aug 1, 2014
- License
-
1775-709T (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8889 JEWELLA AVE STE CSHREVEPORT, LA, 711182138Browse LA providers · Browse ZIP 71118
- Phone
- 3186865227
- Fax
- 3816865283
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DONALD WALKER | OD | 1386639110 |
| CARL A KELLY IV | O.D. | 1942290523 |
| STEPHEN W LEWIS | O.D. | 1336139518 |
| DR. CHRISTINE M DAVIS | OD | 1033182183 |
| JANUSZ LUKA | O.D. | 1598732919 |
| JON BRANTON | O.D. | 1275500696 |
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.