DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHAUN DEAN LARSEN, O.D.

Active

DR. SHAUN DEAN LARSEN, O.D. is a Optometrist healthcare provider located in MAGNA, Utah. NPI 1073540167 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MAGNA, UT

Registration Details

NPI Number
1073540167
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2006 (20.145830707851 yrs)
Last Updated
Aug 24, 2010
License
3758049934 (UT)

Practice Information

Address
3665 S 8400 W
SUITE 100
MAGNA, UT, 840442214
Browse UT providers · Browse ZIP 84044
Phone
8012505745
Fax
8012505981
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in MAGNA, UT

Name Credential NPI
KORY WHITE O.D. 1124478151
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.