Bryan Kent Larson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

078300 Issued in IA

Practice address

10 Taft St S
Humboldt, IA 50548-2037

Phone

(515) 332-2950

Fax

(515) 332-4451

NPI assigned

Jul 9, 2015

Last updated

Jan 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Provider Enterprise LLCGroup PAC ID 0840458667, 8 clinicians

Vision Park Family Eye Care, LLPGroup PAC ID 7214828490, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.84 of 100Reported as group

Quality

81.68

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.bryan.larson@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Park Family Eye Care, LLP

  • Vision Therapy Optometrist
  • Urbandale, IA
  • NPI 1336102052
  Medicare reassignment Care Compare group NPD
• Professional Provider Enterprise LLC

  • Optometrist
  • Omaha, NE
  • NPI 1770852196

  IA

  Medicare reassignment Care Compare group NPD
• Vision Park Family Eye Care

  • Optometrist
  • Urbandale, IA
  • NPI 1407074214
  NPD
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1437205663
  NPD (past)

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1356724272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TAFT ST S",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505482037",
            "telephone_number": "515-332-2950",
            "fax_number": "515-332-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TAFT ST S",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505482037",
            "telephone_number": "515-332-2950",
            "fax_number": "515-332-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "BRYAN",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "078300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jean Lane, MS
• Jessica M Lantz
• Larcam Pharmacy LTD.
• Larcam Pharmacy LTD. (Larry's Pharmacy)
• Abby Larson, CCC-SLP
• Nicole Richelle Lee, ARNP, FNP, PMHNP-BC
• Long Term Medical Supply Corporation
• Morgan Lyons, ARNP
• Haley Nicole Main
• Sue A Malloy, ARNP

• Optometrist in Humboldt, IA
• Providers in Humboldt, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.