Organization 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
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DC9277OtherFLRAILROAD MEDICARE

Other names 1

  • Eyelid Surgery Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.