Wayne Ian Larrison, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

030754 Issued in CT

Practice address

46 Prince St
Suite 402a
New Haven, CT 06519-1600

Phone

(203) 787-6161

Fax

(203) 776-0300

NPI assigned

Sep 26, 2005

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Florida College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Retina Consultants LLCGroup PAC ID 2769573765, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wlarrison3726@direct.ynhh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connecticut Retina Consultants LLC

  • Ophthalmology Physician
  • New Haven, CT
  • NPI 1134246853
  Medicare reassignment Care Compare group NPD Authorized official
• Mendelsohn Medical LLC

  • Neurology Physician
  • Sherman, CT
  • NPI 1366850521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1033105929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST STE 203",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191600",
            "telephone_number": "203-787-6161",
            "fax_number": "203-776-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST",
            "address_2": "SUITE 402A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191600",
            "telephone_number": "203-787-6161",
            "fax_number": "203-776-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRISON",
        "first_name": "WAYNE",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "030754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001307546",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathalie Lara, MD
• Thomas Adam Lardaro, MD
• Corey Ian Larkin, LMFT
• Gregory Luke Larkin, MD
• Stacey Larosa, APRN
• Schan Manuel Lartigue
• Marisol Lasalle, LCSW
• Kareena Lashley
• Michelle Elizabeth Laspino, DNP, APRN, FNP-BC
• Julia Pliner Last, PHARMD.

• Ophthalmology Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.