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

815 W 2000 N
Layton, UT 84041-1632

Phone

(801) 776-4426

Fax

(801) 776-4437

NPI assigned

Dec 17, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Craig Larsen, ODNPI 1720152309

Title

Owner

Phone

(801) 776-4426

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, CA2 enrollments

Enrollment records 2

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Craig Larsen, OD

  • Optometrist
  • Layton, UT
  • NPI 1720152309

  CA

  Medicare reassignment Care Compare group Authorized official
• Mason Matthew Wybrow, O.D.

  • Optometrist
  • Centerville, UT
  • NPI 1851466197
  Medicare reassignment Care Compare group NPD
• Anh Thu Nguyen, OD

  • Optometrist
  • Travis AFB, CA
  • NPI 1770819070
  Medicare reassignment Care Compare group NPD
• Craig A Pew, O.D.

  • Optometrist
  • Centerville, UT
  • NPI 1821393810
  Medicare reassignment NPD
• Miguel L Guerrero, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1659387595
  Medicare reassignment NPD
• Noy Ngo

  • Optometrist
  • Vacaville, CA
  • NPI 1477949311
  Medicare reassignment NPD
• Maria Guadalupe Tarin-Lopez, O.D.

  • Optometrist
  • Travis AFB, CA
  • NPI 1174768964
  Medicare reassignment NPD
• Brad Earl Bailey, OD

  • Optometrist
  • Hill Air Force Base, UT
  • NPI 1730237967
  Medicare reassignment

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1215110929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W 2000 N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411632",
            "telephone_number": "801-776-4426",
            "fax_number": "801-776-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W 2000 N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411632",
            "telephone_number": "801-776-4426",
            "fax_number": "801-776-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LARSEN EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-776-4426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "375876-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan A Donigan, M.D.
• Mary Dove, SSW
• Richmond Doxey, MD
• Rebecca Raelyn Doyle, MA, BCBA, LBA
• Dr Brian Richman PC
• Dr. Jeffrey Tipton OD PC
• Elissa Suzanne Drake, LDEM, CPM
• Drive Counseling
• Joseph Drury
• Lyndsi Drysdale

• Optometrist in Layton, UT
• Providers in Layton, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.