Individual provider Active NPI

Tressa Larson, OD, FAAO

  • Optometrist
  • Iowa City, IA
National Provider Identifier
1629382189
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
072224 Issued in IA
Practice address
200 Hawkins Dr
Department of Ophthalmology
Iowa City, IA 52242-1009
Phone
(319) 356-2916
Fax
(319) 384-5540
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 072224 IA Primary
Optometrist 152W00000X TA2296 MD
Optometrist 152W00000X OEG002348 PA
Optometrist 152W00000X 0618002067 VA

Addresses

Primary practice location

200 Hawkins Dr
Department of Ophthalmology
Iowa City, IA 52242-1009

Mailing address

1451 Coral Ridge Ave
Ste 104
Coralville, IA 52241-2803
Phone (319) 354-5185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20140501000563 IA Practitioner - Optometry 3274729900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley C Parsons OD PCGroup PAC ID 7810024072, 6 clinicians

Practice addresses (Care Compare)

1451 Coral Ridge Ave
Suite 104
Coralville, IA 52241-2803
Phone (319) 354-5185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2296MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley C Parsons OD PC Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Arlington Eye Center Past Accepting new patients

Locations

2315 Edgewood Rd SW
Unit 110
Cedar Rapids, IA 52404
Phone (319) 390-4144

1451 Coral Ridge Ave
Ste 104
Coralville, IA 52241
Phone (319) 354-4175

Organizations & group practices 2

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1629382189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 CORAL RIDGE AVE",
            "address_2": "STE 104",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412803",
            "telephone_number": "319-354-5185",
            "fax_number": "319-625-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPARTMENT OF OPHTHALMOLOGY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-2916",
            "fax_number": "319-384-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "TRESSA",
        "name_prefix": "Dr.",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "072224",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2296",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002348",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.