Karl Martell Larsen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

112 Issued in NV

Practice address

8660 W Cheyenne Ave Ste 120
Las Vegas, NV 89129-7455

Phone

(702) 259-3937

Fax

(702) 645-6402

NPI assigned

Oct 6, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Karl M. Larsen,O.D., LTD.

  • Optometrist
  • Las Vegas, NV
  • NPI 1407159940
  Medicare reassignment NPD Authorized official
• Neil K Dickerson OD PLLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1821758178
  NPD
• Herbert a. Starlin, O D a Nevada Professional Corporation

  • Health Service Clinic/Center
  • Las Vegas, NV
  • NPI 1225548498
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235226523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 W CHEYENNE AVE",
            "address_2": "STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297455",
            "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": "8660 W CHEYENNE AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297455",
            "telephone_number": "702-259-3937",
            "fax_number": "702-645-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "KARL",
        "middle_name": "MARTELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25-02549",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lanisha Larry, RN
• Mildred Lavonne Larry
• Nicole Marie Larry
• Eric Noel Larsen, O.D.
• Karina Larsen
• Laurie Denise Larsen, MD
• Matthew Larsen, M.D.
• Suchin Larsen
• Taylor Larsen
• Tyler Hugh Larsen, DPT

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.