Organization Active NPI

CS Larson OD & Associates PC

Optometrist
Waynesville, MO

National Provider Identifier

1598945859

Registry record updated Dec 14, 2009

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in Waynesville, MO
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: OptometristTaxonomy code 152W00000X
License: T03398 Issued in MO
Legal business name: CS LARSON OD & ASSOCIATES PC
Practice address: 1390 Highway F
Waynesville, MO 65583-0000
Phone: (573) 774-2040
Fax: (573) 774-6152
NPI assigned: Nov 5, 2007
Organization subpart: No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Authorized official

Name: Dr. Jerry W Brown, OD
Title: President
Phone: (573) 774-2040

Specialties & licenses 1

Specialty (taxonomy)	Code	License	State	Primary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP	152W00000X	T03398	MO	Primary

Addresses

Primary practice location

1390 Highway F
Waynesville, MO 65583-0000

Mailing address

1390 Highway F
Waynesville, MO 65583-0000
Phone (573) 774-2040

Other identifiers 48

Identifier	Type	State	Issuer
1598945859	Other		TRICARE FOR LIFE
1598945859	Other		GOVERNMENT EMPLOYEES HEALTH ASSOCIATION, INC
1598945859	Other		PHYSICIANS MUTUAL
1598945859	Other		CONTINENTAL LIFE INSURANCE COMPANY
1598945859	Other		BLUE CROOS BLUE SHIELD OF MINNESOTA
1598945859	Other		CARPTENTERS' HEALTH & WELFARE TRUST FUND OF ST. LOUIS
1598945859	Other		LA FIREMEN'S RELIEF ASSOC
1598945859	Other		LIFE INVESTORS INSURANCE
916309	Other		ADVANTRA FREEDOM
1598945859	Other		UNITED HEATHCARE INSURANCE COMPANY
1598945859	Other		BLUE SHIELD OF CALIFORNIA
1598945859	Other		MUTUAL OF OMAHA COMPANIES
1598945859	Other		COMBINED INSURANCE COMPANY OF AMERICA
1598945859	Medicaid	MO
1598945859	Other		AMERICAN REPUBLIC INSURANCE COMPANY
1598945859	Other		EPOCH
7102000MO65583	Other		BLUE CROSS AND BLUE SHIELD OF MICHIGAN
000000414171	Other		ANTHEM
1598945859	Other		AMERICAN PIONEER
1598945859	Other		BANKERS LIFE
1598945859	Other		COALITION OR PUBLIC SAFETY US HEALTH AND LIFE INSURANCE COMPANY
1598945859	Other		COOPERATIVE BENEFIT ADMINISTRATORS, INC
1598945859	Other		HUMANA EMPLOYERS HEALTH INSURANCE
1598945859	Other		MERITAIN HEALTH
002613709	Other		APWU HEALTH PLAN
1598945859	Other		CONSECO INSURANCE COMPANY
650016650016	Other		PREMERA
1598945859	Other		BLUD CROSS BLUE SHIELD FEDERAL EMPLOYEE PROGRAM
1598945859	Other		UNITED WORLD LIFE INSURANCE
1598945859	Other		CHAMPVA
2381519	Other		GROUP HEALTH PLAN
0007812292	Other		AETNA
1598945859	Other		ADMIRAL LIFE INSURANCE COMPANY OF AMERICA
1598945859	Other		PHILADELPHIA AMERICAN LIFE
1598945859	Other		CHRISTIAN FIDELITY LIFE INSURANCE COMPANY
1598945859	Other		DEFINITY HEALTH
1598945859	Other		EQUITABLE LIFE & CASUALTY INSURANCE COMPANY
1598945859	Other		HARTFORD LIFE INSURANCE COMPANY
1598945859	Other		NATIONAL ASSOCIATION OF LETTER CARRIERS HEALTH BENEFIT PLAN
1598945859	Other		PALMETTO GBA - RAILROAD MEDICARE
2195676	Other		MAIL HANDLERS BENEFIT PLAN
1598945859	Other		TRICARE WEST
1598945859	Other		AMERICAN FAMILY INSURANCE
1598945859	Other		STANDARD LIFE & ACCIDENT COMPANY
1598945859	Other		UNITED AMERICAN INSURANCE COMPANY
1598945859	Other		BENICORP INSURANCE COMPANY
1598945859	Other		AMERICAN CONTINENTAL INSURANCE COMPANY
1598945859	Other		CONSTRUCTION INDUSTRY LABORERS WELFARE FUND

National Provider Directory

Locations

1390 State Route F
Waynesville, MO 65583
Phone (573) 774-2040

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1598945859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 HIGHWAY F",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655830000",
            "telephone_number": "573-774-2040",
            "fax_number": "573-774-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 HIGHWAY F",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655830000",
            "telephone_number": "573-774-2040",
            "fax_number": "573-774-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS LARSON OD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-774-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE FOR LIFE",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOVERNMENT EMPLOYEES HEALTH ASSOCIATION, INC",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS MUTUAL",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTINENTAL LIFE INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROOS BLUE SHIELD OF MINNESOTA",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARPTENTERS' HEALTH & WELFARE TRUST FUND OF ST. LOUIS",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA FIREMEN'S RELIEF ASSOC",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFE INVESTORS INSURANCE",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA FREEDOM",
            "identifier": "916309",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEATHCARE INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA COMPANIES",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMBINED INSURANCE COMPANY OF AMERICA",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598945859",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN REPUBLIC INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPOCH",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF MICHIGAN",
            "identifier": "7102000MO65583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000414171",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN PIONEER",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANKERS LIFE",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COALITION OR PUBLIC SAFETY US HEALTH AND LIFE INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COOPERATIVE BENEFIT ADMINISTRATORS, INC",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA EMPLOYERS HEALTH INSURANCE",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERITAIN HEALTH",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APWU HEALTH PLAN",
            "identifier": "002613709",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSECO INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "650016650016",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUD CROSS BLUE SHIELD FEDERAL EMPLOYEE PROGRAM",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED WORLD LIFE INSURANCE",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPVA",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "2381519",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007812292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMIRAL LIFE INSURANCE COMPANY OF AMERICA",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHILADELPHIA AMERICAN LIFE",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTIAN FIDELITY LIFE INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEFINITY HEALTH",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EQUITABLE LIFE & CASUALTY INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARTFORD LIFE INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOCIATION OF LETTER CARRIERS HEALTH BENEFIT PLAN",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD MEDICARE",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIL HANDLERS BENEFIT PLAN",
            "identifier": "2195676",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN FAMILY INSURANCE",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STANDARD LIFE & ACCIDENT COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BENICORP INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CONTINENTAL INSURANCE COMPANY",
            "identifier": "1598945859",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSTRUCTION INDUSTRY LABORERS WELFARE FUND",
            "identifier": "1598945859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, MO

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.