Andrew Larson, OD | |
93 Constitution Blvd, Kutztown, PA 19530-1724 | |
(610) 683-3888 | |
(610) 683-3083 |
Full Name | Andrew Larson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 11 Years |
Location | 93 Constitution Blvd, Kutztown, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538508031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV008019 (New York) | Secondary |
152W00000X | Optometrist | OEG003708 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ja Vision Enterprises | 3678986445 | 2 |
Myeyedr Optometry Of Pennsylvania Llc | 3971884883 | 87 |
Provider Name | Weaver Eye Care Associates, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093020158 PECOS PAC ID: 3274716436 Enrollment ID: O20110324000834 |
Provider Name | Myeyedr Optometry Of Pennsylvania Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003264607 PECOS PAC ID: 3971884883 Enrollment ID: O20170109002363 |
Provider Name | Center Valley Eye Care, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710510631 PECOS PAC ID: 4789014788 Enrollment ID: O20200415000183 |
Provider Name | Ja Vision Enterprises |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336743632 PECOS PAC ID: 3678986445 Enrollment ID: O20210115001688 |
Mailing Address | Practice Location Address |
---|---|
Andrew Larson, OD 4012 Redwood Dr, Bethlehem, PA 18020-7664 Ph: (315) 591-0252 | Andrew Larson, OD 93 Constitution Blvd, Kutztown, PA 19530-1724 Ph: (610) 683-3888 |
Dr Marlon Burt Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 126 W Main St, Kutztown, PA 19530 Phone: 610-683-3888 Fax: 610-683-3083 | |
Marlon G Burt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 93 Constitution Blvd, Kutztown, PA 19530 Phone: 610-683-3888 Fax: 610-683-3083 |