Individual provider Active NPI

Robert Aric Larson, OD

  • Optometrist
  • Plainfield, IL
National Provider Identifier
1568443091
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
15420 S Route 59
Ste #7
Plainfield, IL 60544-1984
Phone
(815) 436-8955
NPI assigned
Nov 10, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

15420 S Route 59
Ste #7
Plainfield, IL 60544-1984

Mailing address

15420 S Route 59
Ste #7
Plainfield, IL 60544-1984
Phone (815) 436-8955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20060807000059 IL Practitioner - Optometry 0042213365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15420 S Route 59
Suite 112
Plainfield, IL 60544-1984
Phone (815) 436-8955

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a Larson OD PC Optometrist CurrentSince Jan 1, 1966 Accepting new patients

Locations

15420 S Route 59
Ste 112
Plainfield, IL 60544
Phone (815) 436-8955

15420 S Route 59
Ste 7
Plainfield, IL 60544
Phone (815) 436-8955

Organizations & group practices 1

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568443091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 S ROUTE 59",
            "address_2": "STE #7",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441984",
            "telephone_number": "815-436-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 S ROUTE 59",
            "address_2": "STE #7",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441984",
            "telephone_number": "815-436-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ROBERT",
        "middle_name": "ARIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.