Bryan Kent Larson (NPI# 1356724272, PAC ID# 5597065458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1356724272 |
PAC ID by PECOS | 5597065458 |
Professional Enrollment ID | I20151125000100 |
Full Name | Bryan Kent Larson |
Organization Legal Name | INDIANHEAD INVESTMENTS, LLC |
Address |
10 Taft S St Three Rivers Eye Care Humboldt IA 50548-2037 |
Phone Number | 5153322950 |
Gender | M |
Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
Graduation Year | 2015 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 4688974546 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
10 Taft S St, Three Rivers Eye Care, Humboldt, IA 50548-2037 | 5153322950 | INDIANHEAD INVESTMENTS, LLC |
2699 86th St, Urbandale, IA 50322-4309 | 5152702490 | VISION PARK FAMILY EYE CARE, LLP |
Organization Legal Name | INDIANHEAD INVESTMENTS, LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shanna Renae Miller | Optometry | Indianhead Investments, LLC | 10 Taft S St, Three Rivers Eye Care, Humboldt, IA 50548-2037 |
Street Address |
10 TAFT S ST THREE RIVERS EYE CARE |
City | HUMBOLDT |
State | IA |
Zip | 50548-2037 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shanna Renae Miller | Optometry | Indianhead Investments, LLC | 10 Taft S St, Three Rivers Eye Care, Humboldt, IA 50548-2037 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jordan M Reeder | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 1010 15th St N, Humboldt, IA 50548-1008 |
Keri A Benjamin | Nurse Practitioner | Trinity Regional Medical Center | 1000 15th St N, Humboldt County Memorial Hospital, Humboldt, IA 50548-1008 |
Brittany J Maxwell | Emergency Medicine | Humboldt County Memorial Hospital | 1000 15th St N, Humboldt, IA 50548-1008 |
Brittney J Peters | Nurse Practitioner | Trinity Regional Medical Center | 1000 15th St N, Humboldt County Memorial Hospital, Humboldt, IA 50548-1008 |
Cassidy R Long | Family Medicine | Trinity Regional Medical Center | 1000 15th St N, Humboldt County Memorial Hospital, Humboldt, IA 50548-1008 |
Justin L. Ellerman | General Practice | Humboldt County Memorial Hospital | 1000 15th St N, Humboldt, IA 50548-1008 |
Mackenzie T Worthington | Family Medicine | Humboldt County Memorial Hospital | 1000 15th St N, Humboldt, IA 50548-1008 |
Chassidy A Ruby | Nurse Practitioner | Trinity Regional Medical Center | 1000 15th St N, Humboldt County Memorial Hospital, Humboldt, IA 50548-1008 |
Kent S Herbert | Family Medicine | Humboldt County Memorial Hospital | 1000 15th St N, Humboldt, IA 50548-1008 |
Morgan R Lyons | Nurse Practitioner | Humboldt County Memorial Hospital | 1000 15th St N, Humboldt, IA 50548-1008 |
Find all physicians in zip 50548 |
City | HUMBOLDT |
Zip Code | 50548 |
Specialty | OPTOMETRY |
City + Specialty | HUMBOLDT + OPTOMETRY |
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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.