Active NPI
Laura L Larson, O.D.
- Optometrist
- Brooklyn Park, MN
National Provider Identifier
1487715124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2592
- Practice address
- 8000 Lakeland Ave N
Brooklyn Park, MN 55445-2403 - Phone
- (763) 425-4890
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2592 | MN | Primary |
Addresses
Primary practice location
8000 Lakeland Ave N
Brooklyn Park, MN 55445-2403
Mailing address
6925 Ruby LN
Chanhassen, MN 55317-7595
Phone (952) 474-3532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487715124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6925 RUBY LN",
"city": "CHANHASSEN",
"state": "MN",
"postal_code": "553177595",
"telephone_number": "952-474-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 LAKELAND AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452403",
"telephone_number": "763-425-4890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "LAURA",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.