Larry Harrison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6044 Issued in CA

Practice address

634 San Anselmo Ave
San Anselmo, CA 94960-2666

Phone

(415) 747-8191

NPI assigned

Feb 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1366583361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926A DIABLO AVE",
            "address_2": "#426",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474025",
            "telephone_number": "510-928-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 SAN ANSELMO AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602666",
            "telephone_number": "415-747-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "HI",
            "license": "OD 525",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juhi Goswamy, M.D., M.P.H.
• Rebecca Clark Greenwald, PHD
• Nancy Ilene Gump, MFT
• Eric V Haney, DDS, MS
• Sarah Rachel Harnsberger
• Derek Hart, COUNSELOR
• Natalie Ivy Harvey, MFT
• Debra Anne Hayes, PTA
• Erin Heck, D.C.
• Denise Heiden, LAC

• Optometrist in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.