Active NPI
Eric Noel Larsen, O.D.
- Optometrist
- Las Vegas, NV
National Provider Identifier
1083793004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 880426207
- Practice address
- 7324 W Cheyenne Ave
Suite 1
Las Vegas, NV 89129-7427 - Phone
- (702) 259-3937
- Fax
- (702) 645-6402
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 880426207 | NV | Primary |
Addresses
Primary practice location
7324 W Cheyenne Ave
Suite 1
Las Vegas, NV 89129-7427
Mailing address
7324 W Cheyenne Ave
Suite 1
Las Vegas, NV 89129-7427
Phone (702) 259-3937
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2502015 | Medicaid | NV | |
| 5840350 | Other | NV | AETNA |
| NV0223 | Other | NV | NV LICENSE |
| 05101 | Other | NV | MES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051005001223 | NV | Practitioner - Optometry | 5991720203 | Practice locations: Las Vegas, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7324 W Cheyenne Ave
Suite 1
Las Vegas, NV 89129-7426
Phone (702) 259-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karl M. Larsen,O.D., LTD. | Optometrist | Past | Accepting new patients |
| Herbert a. Starlin, O D a Nevada Professional Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Las Vegas, NV
- NPI 1225548498
-
- Optometrist
- Las Vegas, NV
- NPI 1407159940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1083793004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7324 W CHEYENNE AVE",
"address_2": "SUITE 1",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297427",
"telephone_number": "702-259-3937",
"fax_number": "702-645-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7324 W CHEYENNE AVE",
"address_2": "SUITE 1",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297427",
"telephone_number": "702-259-3937",
"fax_number": "702-645-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ERIC",
"middle_name": "NOEL",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "880426207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2502015",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5840350",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV LICENSE",
"identifier": "NV0223",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MES",
"identifier": "05101",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.