John D Larson, OD | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | John D Larson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1836 South Ave, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013913912 | NPI | - | NPPES |
38585700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2504 (Wisconsin) | Primary |
Provider Name | Gundersen Clinic Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
Provider Name | Gundersen Lutheran Medical Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
---|---|
John D Larson, OD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | John D Larson, OD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Alan S Hecht, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-392-9871 | |
Dr. Ashley Herde, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Shawn Allen Stoffregen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3800 State Road 16, Suite 146, La Crosse, WI 54601 Phone: 608-781-8866 | |
Optical Fashions Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 2104 State Rd 16, La Crosse, WI 54601 Phone: 608-782-7127 Fax: 608-782-7124 | |
Makay Bryant Neilson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
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