Andrew Larson, OD is a medicare enrolled "Optometrist" provider in Kutztown, Pennsylvania. He went to State University Of New York - State College Optometry and graduated in 2013 and has 12 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Weaver Eye Care Associates, Inc., Ja Vision Enterprises, Myeyedr Optometry Of Pennsylvania Llc and his current practice location is
93 Constitution Blvd, Kutztown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 683-3888.
Andrew Larson is licensed to practice in Pennsylvania (license number OEG003708) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538508031.
Healthcare Provider's Profile
| Full Name | Andrew Larson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 12 Years |
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| Location | 93 Constitution Blvd, Kutztown, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Andrew Larson attended and graduated from State University Of New York - State College Optometry in 2013
NPI Data:
- NPI Number: 1538508031
- Provider Enumeration Date: 06/18/2013
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608001995
- Enrollment ID: I20200925001219
Medical Identifiers
Medical identifiers for Andrew Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538508031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | TUV008019 (New York) | Secondary |
| 152W00000X | Optometrist | OEG003708 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Weaver Eye Care Associates, Inc. | 3274716436 | 2 |
| Ja Vision Enterprises | 3678986445 | 2 |
| Myeyedr Optometry Of Pennsylvania Llc | 3971884883 | 95 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrew Larson allows following entities to bill medicare on his behalf.
| Provider Name | Weaver Eye Care Associates, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093020158 PECOS PAC ID: 3274716436 Enrollment ID: O20110324000834 |
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| Provider Name | Myeyedr Optometry Of Pennsylvania Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003264607 PECOS PAC ID: 3971884883 Enrollment ID: O20170109002363 |
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| Provider Name | Center Valley Eye Care, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710510631 PECOS PAC ID: 4789014788 Enrollment ID: O20200415000183 |
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| Provider Name | Ja Vision Enterprises |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336743632 PECOS PAC ID: 3678986445 Enrollment ID: O20210115001688 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew Larson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Andrew Larson, OD 4012 Redwood Dr, Bethlehem, PA 18020-7664 Ph: (315) 591-0252 | Andrew Larson, OD 93 Constitution Blvd, Kutztown, PA 19530-1724 Ph: (610) 683-3888 |
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