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

Sex

Female

Sole proprietor

No

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

• Madelia Optometric, Inc.

  • Optometrist
  • Madelia, MN
  • NPI 1144494410

  MN, Optometrist

  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

  • Critical Access Hospital
  • Windom, MN
  • NPI 1841288644

  Hospital

  Care Compare affiliation

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Miss Viktoria Janet Larson Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2025.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136600900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN",
            "identifier": "288R1DA",
            "state": "MN"
        }
    ],
    "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
• Cynthia Ann Degner, DENTAL THERAPIST/RDH
• Brian Peter Di Diego, ND
• Michael A Doering, PT, DPT
• Sarah Dryden, DO
• James R Eiselt, DO

• All providers in Madelia, MN
• 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.