Robert A Larson Od Pc

LBN: Robert A Larson Od Pc
Robert A Larson Od Pc is an health care organization with primary practice located at 15420 S Rte 59 , Plainfield IL 60544-1984. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Robert A Larson Od Pc can be contacted via phone (815) 436-8955, or through Larson, Robert Aric via phone (815) 436-8955.

Contact Information

Primary practice address
15420 S Rte 59 Plainfield IL 60544-1984
Phone: (815) 436-8955
Fax: (815) 496-8745
Website:
Map and Directions
Authorized official contact:
Name: Larson, Robert Aric Doctor of Optometry (OD)
Phone: (815) 436-8955

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1881883585
LBN Legal business name Robert A Larson Od Pc
DBA Doing business as
Authorized official Larson, Robert Aric Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2007
Last updated Oct 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881883585 NPPES
Illinois Other 0142300001 PTAN

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