Individual provider Active NPI

Larissa Krenk, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1679134498
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004171A Issued in IN
Practice address
1160 W Michigan St Ste 100
Indianapolis, IN 46202-5209
Phone
(317) 278-1470
Fax
(317) 274-1475
NPI assigned
Jun 24, 2019
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 18004171A IN Primary

Addresses

Primary practice location

1160 W Michigan St Ste 100
Indianapolis, IN 46202-5209

Mailing address

PO Box 7079
Indianapolis, IN 46207-7079
Phone (317) 321-1470

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@IndianaUnivSchoolOfOptomBloomingtonIN.CompulinkDirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190703000771 IN Practitioner - Optometry 1456685916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raphael Health Center IncGroup PAC ID 4486562659, 13 clinicians
Indiana UniversityGroup PAC ID 6002806957, 64 clinicians

Practice addresses (Care Compare)

401 E 34TH St
Indianapolis, IN 46205-3754
Phone (317) 926-1507

744 E 3Rd St
Bloomington, IN 47405-3603
Phone (812) 855-8436

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004171AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Optometrist CurrentSince Jun 24, 2019 Accepting new patients
Raphael Health Center, Inc CurrentSince Apr 23, 2021 Accepting new patients
Raphael Health Center, Inc CurrentSince Apr 23, 2021 Accepting new patients
Indiana University Optometrist CurrentSince Jul 21, 2024 Accepting new patients
Indiana University CurrentSince Jun 24, 2019 Accepting new patients

Locations

744 E 3rd St
Bloomington, IN 47405
Phone (812) 855-8436

1160 W Michigan St
Ste 100
Indianapolis, IN 46202
Phone (317) 278-1470

401 E 34th St
Indianapolis, IN 46205
Phone (317) 926-1507

501 Indiana Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 321-1470

Interoperability endpoints

  • Direct secure messaging: direct@indianaunivschoolofoptombloomingtonin.compulinkdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDCGDD

Organizations & group practices 5

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1679134498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7079",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462077079",
            "telephone_number": "317-321-1470",
            "fax_number": "317-321-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W MICHIGAN ST STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025209",
            "telephone_number": "317-278-1470",
            "fax_number": "317-274-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENK",
        "first_name": "LARISSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004171A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@IndianaUnivSchoolOfOptomBloomingtonIN.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "IUSO direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "1160 W Michigan St Ste 100",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.