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Search › Ohio › 152W00000X

Ellen Larsen

NPI 1992444772 · on the registry since 2022

Practice

Address
2314 Taylor Park Dr
Reynoldsburg, OH 43068
Phone
(614) 863-0071
Fax
(614) 856-0534
Organisation at this address
Grace Vision, Llc
Luxottica Of America Inc.
Luxottica Retail North America Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio