| Jeffrey Stephen Larson, OD | |
|
5100 Gamble Dr Suite 100, Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | |
| (952) 593-8777 | |
| (952) 595-6408 |
| Full Name | Jeffrey Stephen Larson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 5100 Gamble Dr Suite 100, Saint Louis Park, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497722904 | NPI | - | NPPES |
| 057523200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1999 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Stephen Larson, OD 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7961 | Jeffrey Stephen Larson, OD 5100 Gamble Dr Suite 100, Mail Stop 31200a, Saint Louis Park, MN 55416-1582 Ph: (952) 593-8777 |
Lori Ann Geddes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1665 Utica Ave S Ste 100, Saint Louis Park, MN 55416 Phone: 952-541-2500 Fax: 952-541-2539 | |
James S Keller, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5100 Gamble Dr, Mail Stop 31200a Ste 100, Saint Louis Park, MN 55416 Phone: 952-593-8777 Fax: 952-595-6408 | |
Alexandra K Cross, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1665 Utica Ave S Ste 100, Saint Louis Park, MN 55416 Phone: 952-967-7720 Fax: 952-541-2539 |