Brandon B Larson (NPI# 1831453455, PAC ID# 5597085308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1831453455 |
| PAC ID by PECOS | 5597085308 |
| Professional Enrollment ID | I20150519001594 |
| Full Name | Brandon B Larson |
| Organization Legal Name | STEVEN P CONSOER |
| Address |
1731 17th Ave E Shakopee MN 55379-3372 |
| Phone Number | 9524455600 |
| Gender | M |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 2012 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6800879297 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9721 Lyndale Ave S, Bloomington, MN 55420-4232 | 9528848338 | STEVEN P CONSOER |
| 1731 17th Ave E, Shakopee, MN 55379-3372 | 9524455600 | STEVEN P CONSOER |
| Organization Legal Name | STEVEN P CONSOER |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arica A Logeais | Optometry | Steven P Consoer | 1731 17th Ave E, Shakopee, MN 55379-3372 |
| Jason J Stensos | Optometry | Steven P Consoer | 7872 Market Blvd, Chanhassen, MN 55317-9440 |
| Steven P Consoer | Optometry | Steven P Consoer | 7872 Market Blvd, Chanhassen, MN 55317-9440 |
| Andrea J Urbach | Optometry | Steven P Consoer | 1731 17th Ave E, Shakopee, MN 55379-3372 |
| Wyatt J Peterson | Optometry | Steven P Consoer | 7872 Market Blvd, Chanhassen, MN 55317-9440 |
| Street Address |
1731 17TH AVE E |
| City | SHAKOPEE |
| State | MN |
| Zip | 55379-3372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arica A Logeais | Optometry | Steven P Consoer | 1731 17th Ave E, Shakopee, MN 55379-3372 |
| Andrea J Urbach | Optometry | Steven P Consoer | 1731 17th Ave E, Shakopee, MN 55379-3372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Douglas Eckerman | Clinical Psychologist | County of Scott | 200 4th W Ave, Suite 300, Shakopee, MN 55379-1220 |
| Kim S Harmon | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Stephanie Stacy Smith | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Danelle Amber Williams Nelson | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Erin L Martin | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Duncan E Anderson | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Raymond J Kennedy Iii | Psychiatry | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Jennifer L Schuldt | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Morgan Claire Hittner-ashwell | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Amber Leigh Hilgart | Clinical Psychologist | County of Scott | 200 4th W Ave, Suite 300, Shakopee, MN 55379-1220 |
| Find all physicians in zip 55379 | |||
| City | SHAKOPEE |
| Zip Code | 55379 |
| Specialty | OPTOMETRY |
| City + Specialty | SHAKOPEE + OPTOMETRY |
Please comment or provide details below to improve the information on Brandon B Larson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.