| Mr Lars John Carlson, OD | |
|
5301 S Superstition Mountain Dr, Gold Canyon, AZ 85218-1919 | |
| (480) 474-2020 | |
| Not Available |
| Full Name | Mr Lars John Carlson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 23 Years |
| Location | 5301 S Superstition Mountain Dr, Gold Canyon, Arizona |
| 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 |
|---|---|---|---|
| 1285703959 | NPI | - | NPPES |
| AZ0906570 | Other | AZ | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1429 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gold Canyon Eye Center Pllc | 2062597917 | 2 |
| Provider Name | Southwestern Eye Center Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023063187 PECOS PAC ID: 1850296989 Enrollment ID: O20031203000181 |
| Provider Name | Barnet Dulaney Perkins Eye Center, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376574707 PECOS PAC ID: 0749288298 Enrollment ID: O20061117000349 |
| Provider Name | Gold Canyon Eye Center Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043489420 PECOS PAC ID: 2062597917 Enrollment ID: O20080317000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lars John Carlson, OD 7314 E Roosevelt St, Scottsdale, AZ 85257-4021 Ph: (602) 373-8821 | Mr Lars John Carlson, OD 5301 S Superstition Mountain Dr, Gold Canyon, AZ 85218-1919 Ph: (480) 474-2020 |
Gold Canyon Eye Center, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 6900 E Us Highway 60, 118, Gold Canyon, AZ 85118 Phone: 480-474-2020 Fax: 480-474-8787 | |
Dr. Trina Lau Cheng, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6900 E Us Highway 60, 118, Gold Canyon, AZ 85118 Phone: 480-474-2020 Fax: 480-474-8787 |