Brandon Bruce Larson, OD

Optometrist · Maple Grove, MN

Individual Active NPI

NPI number 1831453455

Practice location

13195 Weaver Lake Rd
Maple Grove, MN 55369
Phone
(763) 420-5112
Fax
(763) 420-6957

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NPI record

NPI
1831453455
Entity type
Individual (Type 1)
Enumeration date
June 28, 2012
Last updated
June 28, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 3284 MN

About Dr. Larson

Brandon Bruce Larson, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 13195 Weaver Lake Rd, Maple Grove, MN 55369. The NPI number 1831453455 was assigned on June 28, 2012 and the record was last updated on June 28, 2012.

Dr. Larson lists a license in the registry: #3284 (MN) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brandon Bruce Larson, OD?

The NPI number is 1831453455.

What is the phone number of Dr. Larson?

The phone number listed for the practice location is (763) 420-5112.

Where is Dr. Larson located?

13195 Weaver Lake Rd, Maple Grove, MN 55369.

What is the taxonomy code for Dr. Larson?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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