Larson Eye Care SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LARSON EYE CARE SC

Practice address

1442 N 31St St
Sheboygan, WI 53081-3061

Phone

(920) 452-5400

Fax

(920) 452-1920

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christopher L Larson, MDNPI 1750358693

Title

President

Phone

(920) 452-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher L Larson

  • Ophthalmology Physician
  • Sheboygan, WI
  • NPI 1750358693
  Medicare reassignment Care Compare group NPD Authorized official
• Todd Robert Larson, D.O.

  • Ophthalmology Physician
  • Sheboygan, WI
  • NPI 1609184365
  Medicare reassignment Care Compare group NPD
• Andrew C Lavey, OD

  • Optometrist
  • Sheboygan, WI
  • NPI 1710953609
  Medicare reassignment Care Compare group NPD
• Samuel K Soda, OD

  • Optometrist
  • Sheboygan, WI
  • NPI 1194411850
  Medicare reassignment Care Compare group NPD
• Jordyn Grace Matuschka, OD

  • Optometrist
  • Sheboygan, WI
  • NPI 1851882187
  Medicare reassignment NPD
• Bradley Linder

  • Optician
  • Sheboygan, WI
  • NPI 1629420526
  NPD

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629039961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 N 31ST ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813061",
            "telephone_number": "920-452-5400",
            "fax_number": "920-452-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 N 31ST ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813061",
            "telephone_number": "920-452-5400",
            "fax_number": "920-452-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON EYE CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-452-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32866800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha N Lane, RN
• David M Lang, PT
• Mark S Lang, MD
• Jessica C Larsen, LCSW
• Kaitlyn Hanna Larsen, MA
• Amy L Larson, PT
• Christopher L Larson
• Todd Robert Larson, D.O.
• Mariah Lau, APNP
• Kelsey R Lauterbach, PA-C

• Ophthalmology Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.