NPI 1023379773

Dylen Adair Larsen, ABOC

Practitioner Optician Belvidere, IL

Practice location

Address: 521 South Street Suite 1, Belvidere, IL 61008
Phone: (815) 520-1303
Fax: (815) 975-9327

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Illinois →

Registry record

NPI: 1023379773
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2012
Record last updated: 30 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.