Larry Dean Harrison (NPI# 1366583361, PAC ID# 5799945325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1366583361 |
| PAC ID by PECOS | 5799945325 |
| Professional Enrollment ID | I20120320000063 |
| Full Name | Larry Dean Harrison |
| Address |
634 San Anselmo Ave San Anselmo CA 94960-2666 |
| Phone Number | 4157478219 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1976 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 634 San Anselmo Ave, San Anselmo, CA 94960-2666 | 4157478219 |
| Street Address |
634 SAN ANSELMO AVE |
| City | SAN ANSELMO |
| State | CA |
| Zip | 94960-2666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret M Gruenke | Clinical Social Worker | 156 A Oak Springs Dr, San Anselmo, CA 94960-1327 | |
| Diane Hazelt Brown | Psychologist, Clinical | 35 Salinas Ave, San Anselmo, CA 94960-1642 | |
| Lassa J Frank | Optometry | 1604 Sir Francis Drake Blvd, San Anselmo, CA 94960-1845 | |
| Alicia E Smart | Clinical Psychologist | 895 Sir Francis Drake Blvd, San Anselmo, CA 94960-1916 | |
| Adam H Cantor | Chiropractic | Adam Cantor Professional Chiropractic Corp | 754 Sir Francis Drake Blvd, Suite 2, San Anselmo, CA 94960-1933 |
| Tanya Rg Fredricks | Physical Therapy | Sport and Spine Therapy of Marin Inc | 220 Greenfield Ave, San Anselmo, CA 94960-2416 |
| Lindsey S Umapathy | Physical Therapy | Sport and Spine Therapy of Marin Inc | 220 Greenfield Ave, San Anselmo, CA 94960-2416 |
| Christopher T Krug | Physical Therapy | Sport and Spine Therapy of Marin Inc | 220 Greenfield Ave, San Anselmo, CA 94960-2416 |
| Ilkcan Md Cokgor | Neurology | 50 Red Hill Ave, San Anselmo, CA 94960-2424 | |
| Giovanna A. Otfinowski | Psychologist, Clinical | 412 Red Hill Ave, Suite 5, San Anselmo, CA 94960-2468 | |
| Find all physicians in zip 94960 | |||
| City | SAN ANSELMO |
| Zip Code | 94960 |
| Specialty | OPTOMETRY |
| City + Specialty | SAN ANSELMO + 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.