Travis Adam Larson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

836 Issued in SD

Practice address

11 Shriner St
Vermillion, SD 57069-1155

Phone

(605) 624-2020

Fax

(605) 624-7961

NPI assigned

Jun 6, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, SD2 enrollments

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 2

Specialty

Optometry

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hawkeye Exact SD 1 PLLCGroup PAC ID 8628517703, 3 clinicians

Hawkeye Exact LLCGroup PAC ID 8921428400, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Hawkeye Exact SD 1 PLLC

  • Optometrist
  • Vermillion, SD
  • NPI 1013756899
  Medicare reassignment Care Compare group NPD
• Hawkeye Exact, LLC

  • Optometrist
  • Sioux City, IA
  • NPI 1447896782

  IA, Optometrist, SD

  Medicare reassignment Care Compare group NPD
• Brown Optometric Clinic PC

  • Optometrist
  • Vermillion, SD
  • NPI 1831144153
  NPD (past)

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1538053277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SHRINER ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691155",
            "telephone_number": "605-624-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SHRINER ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691155",
            "telephone_number": "605-624-2020",
            "fax_number": "605-624-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "TRAVIS",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian David Lackey, ATC
• Adam Lawrence Ladwig, DPT
• Emma Octavia Ladwig
• Troy Larsen, DDS
• Dustin Adam Larson, MA, CCC-SLP
• Kelsey Rae Laska, CNP
• Matthew Lavin, RPH
• Patricia Leahy, MS, CCC-SLP
• Barbara L Lefdal, LPC, QMHP, LPC-MH
• Trevor Mandernach, MA

• All providers in Vermillion, SD
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.