Dr Wayne Thomas Larsen, OD | |
28356 S Western Ave, Rancho Palos Verdes, CA 90275-1434 | |
(310) 547-2685 | |
(310) 547-1527 |
Full Name | Dr Wayne Thomas Larsen |
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Gender | Male |
Speciality | Optometrist |
Location | 28356 S Western Ave, Rancho Palos Verdes, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972685089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT5169TPL (California) | Primary |
Provider Name | Community Health Systems Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952308009 PECOS PAC ID: 7012824717 Enrollment ID: O20051117000822 |
Mailing Address | Practice Location Address |
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Dr Wayne Thomas Larsen, OD 28356 S Western Ave, Rancho Palos Verdes, CA 90275-1434 Ph: (310) 547-2685 | Dr Wayne Thomas Larsen, OD 28356 S Western Ave, Rancho Palos Verdes, CA 90275-1434 Ph: (310) 547-2685 |
Dr. Jeffrey M Chou, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 28356 S Western Ave, Rancho Palos Verdes, CA 90275 Phone: 310-831-0841 | |
Westmont Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 28356 S Western Ave, Rancho Palos Verdes, CA 90275 Phone: 310-831-0841 | |
Westmont Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 28356 S Western Ave, Rancho Palos Verdes, CA 90275 Phone: 310-831-0841 Fax: 310-831-0842 | |
Richard Kuan-sheng Lin, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27946 Ridgebluff Ct, Rancho Palos Verdes, CA 90275 Phone: 310-218-8811 | |
Dr. Walter R. Wolleat, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 28356 S Western Ave, Rancho Palos Verdes, CA 90275 Phone: 310-831-0841 Fax: 310-831-3369 | |
Heather Bowman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6935 Abbottswood Dr, Rancho Palos Verdes, CA 90275 Phone: 336-408-8357 | |
Dana Ann Nakagawa, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5921 Armaga Spring Rd Unit A, Rancho Palos Verdes, CA 90275 Phone: 310-717-6276 |