Active NPI
Christopher L Larson
- Ophthalmology Physician
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20209020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32866800 | Medicaid | WI |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1442 N 31St St
Sheboygan, WI 53081-3061
Phone (920) 452-5400
Hospital & facility affiliations
- St Nicholas Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.37 of 100
- Quality
- 66.85
- Promoting interoperability
- 50
- Improvement activities
- 40
- Cost
- 72.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20209020 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larson Eye Care SC | Ophthalmology | Current | Accepting new patients |
| Third Coast Vascular ASC LLC | Current | Accepting new patients | |
| Surgery Center of Sheboygan LLC | Past | 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
- 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.
-
- Ophthalmology Physician
- Sheboygan, WI
- NPI 1629039961
-
- Ambulatory Surgical Clinic/Center
- Sheboygan, WI
- NPI 1952003618
-
- Ambulatory Surgical Clinic/Center
- Sheboygan, WI
- NPI 1174796668
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sheboygan, WI
- NPI 1427009992
Hospital
-
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.