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DR. BRIAN LARSEN M.D. NPI 1083871974


NPI Information

NPI: 1083871974
Provider Name: DR. BRIAN LARSEN, M.D.
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

PECOS Registration: Yes

Address:
4401 S HARLEM AVE
STICKNEY, IL
ZIP 60402
Phone: (708) 788-3400
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DR. Brian Larsen, M.D. is a retina specialist ophthalmology in Stickney, IL with 18 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Brian Larsen, M.D. NPI is 1083871974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:2006

The provider's business location address is:

4401 S HARLEM AVE
STICKNEY, IL
ZIP 60402-250
Phone: (708) 788-3400
Fax: (708) 788-3472

The NPI 1083871974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic imaging of retina (HCPCS:92134)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Photography of the retina (HCPCS:92250)

The enumeration date for this NPI number is 5/19/2008 and was last updated on 4/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology54511WISCONSINNo
2207W00000XOphthalmology036129978ILLINOISNo
3207WX0107XOphthalmologyRetina Specialist036129978ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.