Individual provider Active NPI

Christopher L Larson

  • Ophthalmology Physician
  • Sheboygan, WI
National Provider Identifier
1750358693
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20209020 Issued in WI
Practice address
1442 N 31St St
Sheboygan, WI 53081-3061
Phone
(920) 452-5400
Fax
(920) 452-1920
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20209020 WI Primary

Addresses

Primary practice location

1442 N 31St St
Sheboygan, WI 53081-3061

Mailing address

1442 N 31St St
Sheboygan, WI 53081-3061
Phone (920) 452-5400

Other identifiers 1

IdentifierTypeStateIssuer
32866800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000214 WI Practitioner - Ophthalmology 3375559990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Larson Eye Care SCGroup PAC ID 8022098409, 4 clinicians

Practice addresses (Care Compare)

1442 N 31St St
Sheboygan, WI 53081-3061
Phone (920) 452-5400

Hospital & facility affiliations

  • St Nicholas Hospital Hospital, Sheboygan, WI, CCN 520044

Merit-based Incentive Payment System (MIPS)

Final score
69.37 of 100Reported as group
Quality
66.85
Promoting interoperability
50
Improvement activities
40
Cost
72.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20209020WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Larson Eye Care SC Ophthalmology CurrentSince Jul 1, 1979 Accepting new patients
Third Coast Vascular ASC LLC CurrentSince Jan 9, 2025 Accepting new patients
Surgery Center of Sheboygan LLC PastSince Apr 4, 2007 Accepting new patients

Locations

1442 N 31st St
Sheboygan, WI 53081
Phone (920) 452-1810

1441 N Taylor Dr
Sheboygan, WI 53081
Phone (262) 577-0250

Interoperability endpoints

  • Direct secure messaging: cllarson@larsoneyes.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1750358693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 N 31ST ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813061",
            "telephone_number": "920-452-5400",
            "fax_number": "920-452-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 N 31ST ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813061",
            "telephone_number": "920-452-5400",
            "fax_number": "920-452-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "20209020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32866800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.