MEDICARE: DR. LARRY M. MAGNUSON OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	877	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417066622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY M. MAGNUSON OD

Provider Business Mailing Address
First Line	:	PO BOX 309
Second Line	:
City	:	WAYNE
State	:	NE
Zip	:	68787-0309
Country	:	US
Telephone Number	:	402-375-5160
Fax Number	:	402-375-3302

Provider Business Practice Location Address
First Line	:	215 W 2ND ST
Second Line	:
City	:	WAYNE
State	:	NE
Zip	:	68787-1842
Country	:	US
Telephone Number	:	402-375-5160
Fax Number	:	402-375-3302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	06/13/2012

Similar Medicare Providers

1720946619 — MRS. RACHELLE S HOGUE
Practice Location Address:

440 E SWEDESFORD RD STE 2045
WAYNE, PA
19087-1842

Practice Phone: 800-822-6099
Practice Fax: 888-508-5803

1114703998 — JEN GRIGEREK RN CCM
Practice Location Address:

440 E SWEDESFORD RD STE 2045
WAYNE, PA
19087-1842

Practice Phone: 860-214-6820
Practice Fax:

1548048382 — DOUGLAS PALMER CRC, CDMS
Practice Location Address:

440 E SWEDESFORD RD STE 2045
WAYNE, PA
19087-1842

Practice Phone: 207-303-4598
Practice Fax: 888-741-9222

1528836731 — SALAM HOME CARE AGENCY LLC
Practice Location Address:

4202 WARSAW ST
FORT WAYNE, IN
46806-1842

Practice Phone: 260-206-7929
Practice Fax:

1437016136 — COR THERAPEUTIC SERVICES, LLC
Practice Location Address:

120 W 2ND ST STE 3
WAYNE, NE
68787-1957

Practice Phone: 402-500-6870
Practice Fax: 402-500-6871

1760883367 — NORTHEAST NEBRASKA PUBLIC HEALTH DEPARTMENT
Practice Location Address:

801 MILO DR
WAYNE, NE
68787

Practice Phone: 402-375-2200
Practice Fax: 402-375-2201

Directions to “ DR. LARRY M. MAGNUSON OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.