IndividualActive
Bradly Larson, O.D.
NPI 1053729152 · Optometrist · Shreveport, LA
Provider details
- NPI number
- 1053729152
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1775-709T (LA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
8889 Jewella Ave Ste C
Shreveport, LA 71118-2138
Phone: (318) 686-5227
Fax: (381) 686-5283
Approximate (ZIP-level) locationGet directions
Mailing address
8889 Jewella Ave Ste C
Shreveport, LA 71118-2138
Registry dates
- Enumerated
- 2014-08-01
- Last updated
- 2014-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.