Larkspur Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7944TPG Issued in CA

Legal business name

LARKSPUR OPTOMETRY, INC.

Practice address

2620 Larkspur LN Ste L
Redding, CA 96002-1043

Phone

(530) 223-4300

Fax

(530) 222-8903

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Nancy Cozette Ekelund, O.D.

Title

President

Phone

(530) 222-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nancy Ekelund Optometry Doing business as

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1326464488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 LARKSPUR LN STE L",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021043",
            "telephone_number": "530-223-4300",
            "fax_number": "530-222-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 LARKSPUR LN STE L",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021043",
            "telephone_number": "530-223-4300",
            "fax_number": "530-222-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARKSPUR OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "EKELUND",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "COZETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-222-4300",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7944TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0079440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nancy Ekelund Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Katharine Lange
• Randall James Lankford, DO
• Janani K Lannin, O.D.
• W Craig Lannin, D.O.
• Stephanie Laprise
• Lindsay Anne Larose, CCC-SLP
• Justina Ann Larson, LMFT
• Julianna Lynn Lash, AMFT
• Elizabeth Ashley Laskodi, MSN-CNL, RN
• Rachelle Elizabeth Latter

• Optometrist in Redding, CA
• Providers in Redding, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.