Active NPI
Oculoplastics of Southwest Florida, Dean W. Larson, MD PA
Doing business as Eyelid Surgery
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
National Provider Identifier
1275527095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- OCULOPLASTICS OF SOUTHWEST FLORIDA, DEAN W. LARSON, MD PA
- Doing business as
- Eyelid Surgery
- Practice address
- 15620 New Hampshire CT
Fort Myers, FL 33908-4168 - Phone
- (239) 481-9995
- Fax
- (239) 481-9745
- NPI assigned
- Sep 8, 2005
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dean William Larson, MD
- Title
- President
- Phone
- (239) 481-9995
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | FL | Primary | |
| Ophthalmology Physician | 207W00000X | FL |
Addresses
Primary practice location
15620 New Hampshire CT
Fort Myers, FL 33908-4168
Mailing address
15620 New Hampshire CT
Fort Myers, FL 33908-4168
Phone (239) 481-9995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC9277 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Eyelid Surgery
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1275527095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15620 NEW HAMPSHIRE CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084168",
"telephone_number": "239-481-9995",
"fax_number": "239-481-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15620 NEW HAMPSHIRE CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084168",
"telephone_number": "239-481-9995",
"fax_number": "239-481-9745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCULOPLASTICS OF SOUTHWEST FLORIDA, DEAN W. LARSON, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-08",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-481-9995",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC9277",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyelid Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.