| Todd Robert Larson, DO | |
|
1442 N 31st St, Sheboygan, WI 53081-3061 | |
| (920) 452-5400 | |
| (920) 452-1920 |
| Full Name | Todd Robert Larson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 19 Years |
| Location | 1442 N 31st St, Sheboygan, 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 |
|---|---|---|---|
| 1609184365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 55136-021 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Nicholas Hospital | Sheboygan, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Larson Eye Care Sc | 8022098409 | 4 |
| Entity Name | Larson Eye Care Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629039961 PECOS PAC ID: 8022098409 Enrollment ID: O20040726000205 |
| Entity Name | Third Coast Vascular Asc Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1952003618 PECOS PAC ID: 1052776259 Enrollment ID: O20230421001885 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Robert Larson, DO 1442 N 31st St, Sheboygan, WI 53081-3061 Ph: (920) 452-5400 | Todd Robert Larson, DO 1442 N 31st St, Sheboygan, WI 53081-3061 Ph: (920) 452-5400 |
Kathryn A Green, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1442 N 31st St, Sheboygan, WI 53081 Phone: 920-452-1810 | |
Dr. Larry M Zweben, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1486 | |
Dr. Ajay K Gupta, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3113 Saemann Ave, Sheboygan, WI 53081 Phone: 920-496-4700 | |
Abby Vercio, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3113 Saemann Ave, Sheboygan, WI 53081 Phone: 920-496-4700 | |
Jean Harriet Schott-wagner, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2209 South Memorial Place, Sheboygan, WI 53081 Phone: 920-459-8811 Fax: 920-459-9871 | |
Dr. Christopher L Larson, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1442 N 31st St, Sheboygan, WI 53081 Phone: 920-452-5400 Fax: 920-452-1920 |