Viktoria Larson Davis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2730 Issued in MN

Practice address

18 Benzel Ave NW
Madelia, MN 56062-1422

Phone

(507) 642-3853

NPI assigned

Jun 16, 2005

Last updated

Jan 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Viktoria Janet Larson Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Windom Area Health Hospital, Windom, MN, CCN 241332

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Madelia Optometric, Inc.

  • Optometrist
  • Madelia, MN
  • NPI 1144494410
  Medicare reassignment NPD Authorized official
• Moore Hope Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Madelia, MN
  • NPI 1588556534
  NPD
• Gavin Eye Consulting PLLC

  • Ophthalmology Physician
  • Madelia, MN
  • NPI 1093027526
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Windom Area Hospital

  dba Windom Area Health

  • Critical Access Hospital
  • Windom, MN
  • NPI 1841288644
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1477558302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560620190",
            "telephone_number": "507-642-3853",
            "fax_number": "507-642-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BENZEL AVE NW",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621422",
            "telephone_number": "507-642-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VIKTORIA",
        "middle_name": "LARSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIKTORIA",
            "last_name": "LARSON",
            "middle_name": "JANET",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Apple Tree Dental
• Elizabeth Marie Bertrand, RDN, LD
• City of Madelia (Madelia Community Ambulance)
• Cynthia Ann Degner, DENTAL THERAPIST/RDH
• Brian Peter Di Diego, ND
• Michael A Doering, PT, DPT
• Julie Lynn Dolphin
• Sarah Dryden, DO

• Optometrist in Madelia, MN
• Providers in Madelia, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.