Larkspur Landing Optometry

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

10121T Issued in CA

Legal business name

LARKSPUR LANDING OPTOMETRY

Practice address

2005 Larkspur Landing Cir
Larkspur, CA 94939-1802

Phone

(415) 925-9091

Fax

(415) 925-9092

NPI assigned

Oct 31, 2005

Last updated

Aug 22, 2020By 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. Edward Haack, O.D.NPI 1174516462

Title

Partner

Phone

(415) 925-9091

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Edward Haack, O.D.

  • Optometrist
  • Larkspur, CA
  • NPI 1174516462
  NPD (past) Authorized official
• Gina Maria Day, O.D.

  • Vision Therapy Optometrist
  • Larkspur, CA
  • NPI 1972725760
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306837117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 LARKSPUR LANDING CIR",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391802",
            "telephone_number": "415-925-9091",
            "fax_number": "415-925-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 LARKSPUR LANDING CIR",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391802",
            "telephone_number": "415-925-9091",
            "fax_number": "415-925-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARKSPUR LANDING OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAACK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "415-925-9091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "10121T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0101210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Kuroda, PT
• Kin Man Lai, MD
• Sarah M Lamb, RN, CNS, MS
• Sally Marie Blake Lamont, ND
• Larkspur Landing Optometric Corporation (Larkspur Landing Optometry)
• Donald L Lazzaretto, PHARM D
• Deborah Ann Leal, N.P-F
• Nicole Learned, M.D.
• John Sungchull Lee, MD
• Stewart Lin, DPT

• Vision Therapy Optometrist in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Vision Therapy Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.