Individual provider Active NPI

Brett Robert Larson, O.D.

  • Optometrist
  • Hemet, CA
National Provider Identifier
1316175607
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13720 Issued in CA
Practice address
3953 W Stetson Ave
Hemet, CA 92545-9687
Phone
(951) 652-4343
Fax
(951) 765-6039
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13720 CA Primary

Addresses

Primary practice location

3953 W Stetson Ave
Hemet, CA 92545-9687

Mailing address

3953 W Stetson Ave
Hemet, CA 92545-9687
Phone (951) 652-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20091020000153 CA Practitioner - OptometryPractitioner - Ophthalmology 6406993757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Eye Specialists a Medical CorpGroup PAC ID 3375447964, 18 clinicians

Practice addresses (Care Compare)

25395 Hancock Ave
Suite 100
Murrieta, CA 92562-9054
Phone (951) 696-5388

31950 Temecula Pkwy
Suite B 7
Temecula, CA 92592-9497
Phone (909) 303-0575

Merit-based Incentive Payment System (MIPS)

Final score
90.53 of 100Reported as group
Quality
88.72
Promoting interoperability
99
Improvement activities
40
Cost
77.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51996CAMDMarriage & Family Therapist
13720CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Eye Specialists a Medical Corp Optometrist Current Accepting new patients
Inland Eye Specialists a Medical Corp Optometrist CurrentSince Jul 12, 2010 Accepting new patients
Inland Eye Specialists, a Medical Corporation Optometrist CurrentSince Jul 12, 2010 Accepting new patients
Inland Eye Specialists a Medical Corp Optometrist Past Accepting new patients

Locations

521 E Elder St
Ste 102
Fallbrook, CA 92028
Phone (760) 728-5728

25460 Medical Center Dr
Ste 103
Murrieta, CA 92562
Phone (951) 698-4575

25395 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 696-5388

31950 Temecula Pkwy
Ste B-7
Temecula, CA 92592
Phone (909) 303-0575

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: brett.larson.p3@direct.inlandeyespecialists.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1316175607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 W STETSON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459687",
            "telephone_number": "951-652-4343",
            "fax_number": "951-765-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 W STETSON AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459687",
            "telephone_number": "951-652-4343",
            "fax_number": "951-765-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "BRETT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.