Larsen, Wayne Thomas
Larsen, Wayne Thomas is an sole proprietor health care provider with primary practice located at 28356 S Western Ave , Rancho Palos Verdes CA 90275-1434. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Larsen, Wayne Thomas can be contacted via phone (310) 547-2685.Contact Information
Primary practice address
28356 S Western Ave
Rancho Palos Verdes CA 90275-1434
Phone: (310) 547-2685
Fax: (310) 547-1527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT5169TPL | California |
Profile Details
| NPI number | 1972685089 |
|---|---|
| LBN Legal business name | Larsen, Wayne Thomas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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