Bradly Kendall Larson (NPI# 1053729152, PAC ID# 3274856562) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1053729152 |
| PAC ID by PECOS | 3274856562 |
| Professional Enrollment ID | I20141217001051 |
| Full Name | Bradly Kendall Larson |
| Organization Legal Name | EYE CENTRAL |
| Address |
8889 Jewella Ave Suite C Shreveport LA 71118-2138 |
| Phone Number | 3186865227 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2365765658 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8889 Jewella Ave, Suite C, Shreveport, LA 71118-2138 | 3186865227 | EYE CENTRAL |
| Organization Legal Name | EYE CENTRAL |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naba Razi Khan | Optometry | Eye Central | 8889 Jewella Ave, Suite C, Shreveport, LA 71118-2138 |
| Zelmira Maria Farmer | Optometry | Eye Central | 8889 Jewella Ave, Suite C, Shreveport, LA 71118-2138 |
| Street Address |
8889 JEWELLA AVE SUITE C |
| City | SHREVEPORT |
| State | LA |
| Zip | 71118-2138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naba Razi Khan | Optometry | Eye Central | 8889 Jewella Ave, Suite C, Shreveport, LA 71118-2138 |
| Zelmira Maria Farmer | Optometry | Eye Central | 8889 Jewella Ave, Suite C, Shreveport, LA 71118-2138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Hilton | Otolaryngology | 2508 Bert Kouns, Suite 306, Shreveport, LA 71118 | |
| Hester Suh | Pediatric Medicine | 2709 Mackey Ln, Shreveport, LA 71118-2556 | |
| Paul F Johnston | Chiropractic | 9141 Walker Rd, Shreveport, LA 71118-2940 | |
| Susan M Seiler-smith | Internal Medicine | South Shreveport Internal Medicine | 2508 Bert Koun Loop, Suite 301, Shreveport, LA 71118-3100 |
| Andrew J Oyoung | Internal Medicine | South Shreveport Internal Medicine | 2508 Bert Koun Loop, Suite 301, Shreveport, LA 71118-3100 |
| Indira K Sastry | Pulmonary Disease | Indira Sastry and Willis-knighton | 2508 Bert Kouns Industrial Loop, Suite 304b, Shreveport, LA 71118-3100 |
| Simhadri Sastry | Gastroenterology | 2508 Bert Kouns Industrial Loop, Suite 304, Shreveport, LA 71118-3100 | |
| Joseph Pineda | Obstetrics/gynecology | 2508 Bert Kouns Industrial Loop, Suite 305, Shreveport, LA 71118-3100 | |
| Roy E Brandhurst | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
| Manjit K Wadhwa | Anesthesiology | South Shreveport Anesthesia | 2510 E Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
| Find all physicians in zip 71118 | |||
| City | SHREVEPORT |
| Zip Code | 71118 |
| Specialty | OPTOMETRY |
| City + Specialty | SHREVEPORT + OPTOMETRY |
Please comment or provide details below to improve the information on Bradly Kendall 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.