Larry M. Magnuson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

877 Issued in NE

Practice address

215 W 2ND St
Wayne, NE 68787-1842

Phone

(402) 375-5160

Fax

(402) 375-3302

NPI assigned

Aug 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: direct@magnusoneyecarewaynene.compulinkdirect.com

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

• Midwest Eye Care PC

  • Optician
  • Fremont, NE
  • NPI 1669585196
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1417066622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687870309",
            "telephone_number": "402-375-5160",
            "fax_number": "402-375-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 2ND ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871842",
            "telephone_number": "402-375-5160",
            "fax_number": "402-375-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "LARRY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025560300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Lombard
• Jared Ludwig
• Todd Luedeke, CRNA
• Kimberly R Lueders, PHARMD, RPH
• Magnuson Hopkins Eyecare PC
• Adam Manoucheri, PHARMD
• Alisyn Martin
• Kiley Maxon, LDH
• Destiny H McConnell
• Gail B McCorkindale, PT, DPT

• Optometrist in Wayne, NE
• Providers in Wayne, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.