| Eric M Larson, MD | |
|
1885 West Pointe Dr, Oshkosh, WI 54902-4174 | |
| (920) 232-6550 | |
| (920) 232-6552 |
| Full Name | Eric M Larson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 28 Years |
| Location | 1885 West Pointe Dr, Oshkosh, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275513467 | NPI | - | NPPES |
| 34413200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 45716 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Medical Center-waupaca | Waupaca, WI | Hospital |
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Wisconsin Vision Center Ltd | 2961456512 | 4 |
| Entity Name | Northeast Wisconsin Vision Center Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295715415 PECOS PAC ID: 2961456512 Enrollment ID: O20050308000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric M Larson, MD Po Box 2723, Oshkosh, WI 54903-2723 Ph: (920) 232-6550 | Eric M Larson, MD 1885 West Pointe Dr, Oshkosh, WI 54902-4174 Ph: (920) 232-6550 |
Dr. Stephen Sherman Dudley, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 503 Doctors Ct, Oshkosh, WI 54901 Phone: 920-236-3540 Fax: 920-236-3546 | |
Stephen J Merfeld, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1885 W Pointe Dr, Oshkosh, WI 54902 Phone: 920-232-6550 Fax: 920-232-6552 |