Individual provider Active NPI

Lars Andersen

  • Ophthalmology Physician
  • Cleveland, OH
National Provider Identifier
1205414539
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.152801 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-8447
NPI assigned
Mar 30, 2021
Last updated
May 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 35.152801 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

14 Station Stone LN
Lititz, PA 17543-5008

Other practice location 1

3130 Highland Ave
Cincinnati, OH 45219-2399
Phone (513) 584-5461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250513002802 KY Practitioner - Ophthalmology 0941600274 Reassigns benefits to 1 organization
I20250606000252 OH Practitioner - Ophthalmology 0941600274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, shared by 6 NPIs, 155 clinicians

Practice addresses (Care Compare)

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone 51398451333741

3130 Highland Ave
Cincinnati, OH 45219-2399
Phone (513) 584-4503

580 S Loop Rd
Suite 200
Edgewood, KY 41017-3415
Phone 51398451333741

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.152801OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC Ophthalmology CurrentSince May 1, 2025 Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Jul 1, 2025 Accepting new patients
Cei Physicians PSC, LLC CurrentSince May 1, 2025 Accepting new patients
Cei Physicians PSC LLC Ophthalmology CurrentSince May 1, 2025 Accepting new patients

Locations

580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000

1945 Cei Dr
Blue Ash, OH 45242

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

601 Ivy Gtwy
Ste 301
Cincinnati, OH 45245
Phone (513) 654-2299

Interoperability endpoints

  • Direct secure messaging: landersen31580@ehrdirect.uhhospitals.org
  • Direct secure messaging: lars.anderson.p1@direct.cei.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1205414539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 STATION STONE LN",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175435008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-8447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192399",
            "country_code": "US",
            "telephone_number": "513-584-5461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "LARS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.152801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.