NPIMap

Organization Active NPI

Juli a. Larson MD PLLC

Doing business as New England Vision

  • Ophthalmology Physician
  • Plattsburgh, NY
National Provider Identifier
1356852644
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
255565-1 Issued in NY
Legal business name
JULI A. LARSON MD PLLC
Doing business as
New England Vision
Practice address
71 Smithfield Blvd
Plattsburgh, NY 12901-2111
Phone
(802) 862-1808
Fax
(802) 862-6664
NPI assigned
Oct 13, 2017
Last updated
Oct 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Mrs. Juli A. Larson, MDNPI 1396796710
Title
Medical Director
Phone
(802) 862-1808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X
Ophthalmology Physician 207W00000X 255565-1 NY Primary

Addresses

Primary practice location

71 Smithfield Blvd
Plattsburgh, NY 12901-2111

Mailing address

1100 Hinesburg Rd Ste 201
South Burlington, VT 05403-7613
Phone (802) 862-1808

Other names 1

  • New England Vision Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171229001584 NY Part B Supplier - Clinic/Group Practice 3870851520 Receives reassigned benefits from 6 practitioners
Practice locations: Plattsburgh, NY

National Provider Directory

National Provider Directory

Locations

71 Smithfield Blvd
Plattsburgh, NY 12901
Phone (802) 862-1808

1100 Hinesburg Rd
#201
South Burlington, VT 05403
Phone (802) 862-1808

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1356852644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HINESBURG RD STE 201",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037613",
            "telephone_number": "802-862-1808",
            "fax_number": "802-862-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SMITHFIELD BLVD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012111",
            "telephone_number": "802-862-1808",
            "fax_number": "802-862-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULI A. LARSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JULI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "802-862-1808",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "255565-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.