BRUCE LARSON (NPI# 1932176773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932176773 |
| Entity Type | Individual |
| Full Name | BRUCE LARSON |
| Credential | MD |
| Practice Address |
126 W First St Hinsdale IL 60521-4013 |
| Practice Telephone | 6303255200 |
| Practice Fax Number | 6303255569 |
| Mailing Telephone | 6303255200 |
| Mailing Fax Number | 6303255569 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2010-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 36066594 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | L08359 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528090677 | Bruce A Larson | Internal Medicine | 637 South Lucas Avenue, Suite 400, Los Angeles, CA 90017-2395 | 2006-07-07 |
| 1003823840 | Bruce Davin Larson | Psychiatry & Neurology | 10200 Ne 132nd St, Kirkland, WA 98034-2831 | 2006-08-02 |
| 1265470371 | Bruce D Larson | Physician Assistant | 819 Main St, Lisbon, ND 58054-4244 | 2006-06-02 |
| Street Address |
126 W FIRST ST |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992176580 | Hinsdale Eye Center LLC | Ophthalmology | 126 W First St, Hinsdale, IL 60521-4013 | 2015-10-08 |
| 1083643902 | Larson Eye Center Ltd | Ophthalmology | 126 W First St, Hinsdale, IL 60521 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
| Find all providers in zip 60521 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245636992 | Eye Physicians of Illinois, Sc | Ophthalmology | 419 S Bruner St, Hinsdale, IL 60521-3941 | 2014-11-07 |
| 1205909447 | Blake H Horio | Ophthalmology | 710 N York Rd, Hinsdale, IL 60521-3555 | 2006-11-16 |
| 1427145408 | Carl Ronald Lindberg | Ophthalmology | 908 N Elm St Ste 115, Hinsdale, IL 60521-2600 | 2006-10-09 |
| 1497734966 | Kathleen Ackman Blake | Ophthalmology | 126 W First Street, Hinsdale, IL 60521 | 2006-01-12 |
| 1992176580 | Hinsdale Eye Center LLC | Ophthalmology | 126 W First St, Hinsdale, IL 60521-4013 | 2015-10-08 |
| 1275930208 | Herbert C Becker Jr. Md, Sc | Ophthalmology | 419 S Bruner St, Hinsdale, IL 60521-3941 | 2014-11-19 |
| 1801023288 | Adventist Health Partners, Inc | Ophthalmology | 120 N Oak St, Hinsdale, IL 60521-3829 | 2009-06-12 |
| 1114115037 | Blake H. Horio, M.d., Ltd | Ophthalmology | 710 N York Rd, Hinsdale, IL 60521-3555 | 2007-10-04 |
| 1801099288 | Padmini Kaushal | Ophthalmology | 908 N Elm St Ste 115, Hinsdale, IL 60521-2600 | 2007-06-06 |
| 1619026184 | Smith Perry Eye Center S.c. | Ophthalmology | 950 N York Rd, Suite 203, Hinsdale, IL 60521-2950 | 2007-01-10 |
| Find all providers in HINSDALE | ||||
Please comment or provide details below to improve the information on BRUCE LARSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.