Larson Eye Center LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LARSON EYE CENTER LTD

Practice address

126 W First St
Hinsdale, IL 60521

Phone

(630) 325-5200

Fax

(630) 325-5569

NPI assigned

Jul 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce C Larson, MD

Title

President

Phone

(630) 325-5200

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Bruce C Larson MD & Assoc Ltd Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1083643902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W FIRST ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-325-5200",
            "fax_number": "630-325-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W FIRST ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "630-325-5200",
            "fax_number": "630-325-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON EYE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-325-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1083643902",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2201499",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCIARE PTAN",
            "identifier": "759791",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCS",
            "identifier": "0346350001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce C Larson MD & Assoc Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nadia M Lambermont, ARNP
• Karen L Lambert, M.D.
• Christine Conniff Langs
• Lawrence Lapalio, MD
• Nicole Larocco, PSYD, LCPC
• Bruce Larson, MD
• Kaley Victoria Larson
• Maria Latz Perez, M.D.
• Lorette P Lavine, LCSW
• Andrew T Lawrence, M.D.

• Ophthalmology Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.