Doctor Name: | BRIANA MICHELLE LARSON |
NPI Number: | 1003014556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D. |
License Number: | 007195 |
Business Practice Address: | 10601 Pecan Park Boulevard Suite 201 Austin, TX - 787501206 |
Business Phone Number: | 5124010400 |
Business Fax Number: | 5124010403 |
Mailing Address: | 10601 Pecan Park Boulevard, Suite 201 AUSTIN |
State: | TX |
Postal Code: | 787501206 |
Phone Number: | 5124010400 |
Fax Number: | 5124010403 |
NPI Enumeration Date: | 07/06/2007 |
NPI Last Update Date: | 09/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WV0400X |
License Number: | 007195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Vision Therapy |
Taxonomy Definition: | Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |