Dr Larsen Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

375876-9934 Issued in UT

Legal business name

DR LARSEN EYE CARE INC

Practice address

7071 N 138TH Ave # 1552
Luke Afb, AZ 85307-2006

Phone

(623) 536-0332

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Michael C Larsen, OD

Title

Owner

Phone

(801) 513-9951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1043623648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 W 75 N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415747",
            "telephone_number": "801-513-9951",
            "fax_number": "801-779-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 N 138TH AVE # 1552",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "853072006",
            "telephone_number": "623-536-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LARSEN EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-513-9951",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "375876-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten M David, RND
• Christopher Delange, MD
• Robert Mark Dixon, MD
• Robert J. Downey, D.O.
• Jordan Paul Downing, DO
• Adam Dulberger, MD
• Alisa Ryell Dunlap, LCSW
• David Andrew Dupont, DDS
• Patrick Edwards, DMD
• Wanda Luz Figueroa- Cruz, M.D.

• Optometrist in Luke Afb, AZ
• Providers in Luke Afb, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.