Individual provider Active NPI

Juli A Larson, MD

  • Ophthalmology Physician
  • South Burlington, VT
National Provider Identifier
1396796710
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0420008600 Issued in VT
Practice address
1100 Hinesburg Rd
Suite 201
South Burlington, VT 05403-7613
Phone
(802) 862-1808
NPI assigned
May 12, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 255565-1 NY
Ophthalmology Physician 207W00000X 25565-1 NY
Ophthalmology Physician 207W00000X 0420008600 VT Primary

Addresses

Primary practice location

1100 Hinesburg Rd
Suite 201
South Burlington, VT 05403-7613

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
180019743OtherVTRAIL ROAD MEDICARE
OVN0634MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040615000454 VT Practitioner - Ophthalmology 4981688496 Reassigns benefits to 1 organization
I20171229002000 NY Practitioner - Ophthalmology 4981688496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juli a Larson PC Vermont Eye AssociatesGroup PAC ID 6103800602, 4 clinicians
Juli a Larson MD PLLCGroup PAC ID 3870851520, 2 clinicians

Practice addresses (Care Compare)

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

71 Smithfield Blvd
Plattsburgh, NY 12901-2136
Phone (877) 468-8393

Merit-based Incentive Payment System (MIPS)

Final score
91.28 of 100Reported as group
Quality
94
Improvement activities
40
Cost
78.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255565-1NYMDOphthalmology Physician
25565-1NYMDOphthalmology Physician
0420008600VTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juli a. Larson MD PLLC Ophthalmology CurrentSince Nov 1, 2017 Accepting new patients
Juli a Larson PC Vermont Eye Associates CurrentSince Jul 1, 1993 Accepting new patients
Vermont Eye Surgery & Laser Center Current Accepting new patients

Locations

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

1100 Hinesburg Rd
#101
South Burlington, VT 05403
Phone (802) 862-1801

1100 Hinesburg Rd
#20
South Burlington, VT 05403
Phone (802) 862-1808

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

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396796710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HINESBURG RD",
            "address_2": "SUITE 201",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037613",
            "telephone_number": "802-862-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HINESBURG RD",
            "address_2": "SUITE 201",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037613",
            "telephone_number": "802-862-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JULI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "255565-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "25565-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "0420008600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "180019743",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0634",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.