Organization
LARSON EYE CENTER LTD
Active
Other names
Bruce C Larson MD & Assoc Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE C LARSON MD (PRESIDENT)
(630) 325-5200
Entity
Organization
Contact information
Practice address
126 W FIRST ST, HINSDALE, IL 60521
(630) 325-5200
(630) 325-5569
Mailing address
126 W FIRST ST, HINSDALE, IL 60521
(630) 325-5200
(630) 325-5569
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0346350001
NCS
IL
01
—
1083643902
BCBS
IL
01
—
2201499
BCBS
—
01
—
759791
MEDCIARE PTAN
IL
Enumeration date
07/02/2006
Last updated
08/25/2010
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