Michael Craig Larsen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

375876-9934 Issued in UT

Practice address

815 W 2000 N
Layton, UT 84041-1632

Phone

(801) 776-4426

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, CA2 enrollments

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 2

Specialty

Optometry

Education

University of California - School of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Larsen Eye Care IncGroup PAC ID 8224084009, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr Larsen Eye Care Inc

  • Optometrist
  • Layton, UT
  • NPI 1215110929

  CA

  Medicare reassignment Care Compare group Authorized official
• Dr Larsen Eye Care Inc

  • Optometrist
  • Ft. Lewis McChord Afb, WA
  • NPI 1326459843
  NPD Authorized official
• Riverton Family Eye Care Optometry Practice , LLC

  • Optometrist
  • Riverton, UT
  • NPI 1336349380
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1720152309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025W 75 N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415747",
            "telephone_number": "801-513-9951",
            "fax_number": "801-779-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W 2000 N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411632",
            "telephone_number": "801-776-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "375876-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Larsen
• Chelsey Larsen
• Keoni Damon Larsen
• Matthew D Larsen, P.T.
• Melissa Larsen, FNP-C
• Royce Anders Larsen, P.T.
• Savannah Larsen
• Wade B Larsen, MD
• Alyssa Larson
• Jacob Larson, OTD

• Optometrist in Layton, UT
• Providers in Layton, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.