NPI 1053729152

Bradly Kendall Larson, OD

Practitioner Optometrist Shreveport, LA

Practice location

Address: 8889 Jewella Ave STE C, Shreveport, LA 71118-2138
Phone: (318) 686-5227
Fax: (381) 686-5283

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1775-709T (LA)

Other Optometrist providers in Louisiana →

Registry record

NPI: 1053729152
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2014
Record last updated: 1 Aug 2014

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.