Kathryn Larsson, O.D.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

9225T Issued in CA

Legal business name

KATHRYN LARSSON, O.D.

Practice address

1150 W Orangeburg Ave
Modesto, CA 95350-4042

Phone

(209) 526-9883

Fax

(209) 526-8681

NPI assigned

Jun 7, 2018

Organization subpart

No

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

Authorized official

Name

Kathryn Larsson, OD

Title

Optometrist/ Owner

Phone

(209) 526-9883

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1659864395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504042",
            "telephone_number": "209-526-9883",
            "fax_number": "209-526-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504042",
            "telephone_number": "209-526-9883",
            "fax_number": "209-526-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN LARSSON, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "LARSSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "209-526-9883",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "9225T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6012490001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yewondwossen B. Kassa, MD
• Barry P Kassels, MD
• Tarek Kassem
• Susana Wayeta Kataka, N.P.
• Pradip C Katharotiya, DDS
• Sharon R Katz-Torres, L.C.S.W.
• Kourtney Anne Kauffman
• Lee Kauffman, M.P.T.
• Rebecca Kauffman
• Kaur and Borrero DDS Dental Corp (Splash Kids Dental Care)

• Ophthalmologic Surgery Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.