Jodie S Larson (NPI# 1417942251, PAC ID# 0345245544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1417942251 |
| PAC ID by PECOS | 0345245544 |
| Professional Enrollment ID | I20060921000445 |
| Full Name | Jodie S Larson |
| Organization Legal Name | EYECARE CENTER OF MADISON PROF LLC |
| Address |
302 N Harth Ave Madison SD 57042-2219 |
| Phone Number | 6052566911 |
| Gender | F |
| Credential | OD |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2365695491 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 302 N Harth Ave, Madison, SD 57042-2219 | 6052566911 | EYECARE CENTER OF MADISON PROF LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | EYECARE CENTER OF MADISON PROF LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Brooke | Optometry | Eyecare Center of Madison Prof LLC | 302 N Harth Ave, Madison, SD 57042-2219 |
| Street Address |
302 N HARTH AVE |
| City | MADISON |
| State | SD |
| Zip | 57042-2219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Brooke | Optometry | Eyecare Center of Madison Prof LLC | 302 N Harth Ave, Madison, SD 57042-2219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie B Landeen | Obstetrics/gynecology | Sanford Clinic | 903 N Washington Ave, Vascular Assocaites, Madison, SD 57042-1634 |
| Douglas J Caron | Chiropractic | 120 Nw 2nd St, Madison, SD 57042-2106 | |
| Misty D Wells | Chiropractic | Getting Well Chiropractic Prof, LLC | 414 Ne 3rd St, Madison, SD 57042-2322 |
| Joseph Michael Gitzen | Chiropractic | Getting Well Chiropractic Prof, LLC | 414 Ne 3rd St, Madison, SD 57042-2322 |
| Jacalyn K Hopp | Clinical Social Worker | Community Counseling Services | 914 Ne 3rd St, Madison, SD 57042-2435 |
| Garet K Ford | Physician Assistant | Community Counseling Services | 914 Ne 3rd St, Madison, SD 57042-2435 |
| Tammy T Dramstad | Clinical Social Worker | Community Counseling Services | 914 Ne 3rd St, Madison, SD 57042-2435 |
| Lyle P Christopherson | Psychiatry | Community Counseling Services | 914 Ne 3rd St, Madison, SD 57042-2435 |
| Justin A Clem | Family Medicine | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Meggan L Reisch | Nurse Practitioner | Madison Community Hospital | 323 Sw 10th St, Madison, SD 57042-3200 |
| Find all physicians in zip 57042 | |||
| City | MADISON |
| Zip Code | 57042 |
| Specialty | OPTOMETRY |
| City + Specialty | MADISON + OPTOMETRY |
Please comment or provide details below to improve the information on Jodie S Larson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.