Kathryn L Larsson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9225T Issued in CA

Practice address

1150 W Orangeburg Ave
Modesto, CA 95350

Phone

(209) 526-9883

Fax

(209) 526-8681

NPI assigned

Sep 8, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1750375440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504042",
            "telephone_number": "209-526-9883",
            "fax_number": "209-526-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-526-9883",
            "fax_number": "209-526-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSSON",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4069",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9225T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0092250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Duario-Torres Larracas, FNP
• Susana Larranaga-Luna, MSW, ACSW
• Eric W. Larson, MD
• Krysten Nalani Larson
• Lori Ann Larson
• Frances Adylane Lasala
• Andromeda Lascano
• Celeste Lascano, BSN
• Tonya Renee Laster, MFTI
• Amalia Maya Lastra

• Optometrist in Modesto, CA
• Providers in Modesto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.