Individual provider Active NPI

Kathryn Anne Larkin, OD

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1679822886
Registry record updated Apr 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4737 Issued in FL
Practice address
323 SW 145TH Ter Ste 3050
Pembroke Pines, FL 33027-1444
Phone
(954) 392-4111
Fax
(954) 392-4113
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4737 FL Primary

Addresses

Primary practice location

323 SW 145TH Ter Ste 3050
Pembroke Pines, FL 33027-1444

Mailing address

323 SW 145TH Ter Ste 3050
Pembroke Pines, FL 33027-1444
Phone (954) 392-4111

Other practice location 1

5101 N Davis Hwy
Suite A
Pensacola, FL 32503-2034
Phone (850) 479-7379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Larkin OD LLC Optometrist CurrentSince Mar 9, 2020 Accepting new patients

Locations

323 SW 145th Ter
Ste 3050
Pembroke Pines, FL 33027
Phone (954) 392-4111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586649600000",
    "number": "1679822886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SW 145TH TER STE 3050",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271444",
            "telephone_number": "954-392-4111",
            "fax_number": "954-392-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SW 145TH TER STE 3050",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271444",
            "telephone_number": "954-392-4111",
            "fax_number": "954-392-4113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 N Davis Hwy",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032034",
            "country_code": "US",
            "telephone_number": "850-479-7379",
            "fax_number": "850-494-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; 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.