Alayna Larsen, OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

OPT003208 Issued in GA

Practice address

11735 Pointe PL
Roswell, GA 30076-4636

Phone

(954) 262-4235

Fax

(954) 262-3904

NPI assigned

Aug 10, 2018

Last updated

Dec 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 GA

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagle View Eye Care LLCGroup PAC ID 7214348259, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle View Eye Care, LLC

  • Optometrist
  • Oakwood, GA
  • NPI 1508495474
  Medicare reassignment Care Compare group NPD
• Vision Care & Therapy Center, Inc

  • Optometrist
  • Roswell, GA
  • NPI 1508100348
  Medicare reassignment NPD
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517
  NPD (past)

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1780163691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOPEWELL GROVE DR",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300046989",
            "telephone_number": "561-356-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 POINTE PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764636",
            "telephone_number": "954-262-4235",
            "fax_number": "954-262-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ALAYNA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "GA",
            "license": "OPT003208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Anne Lang, OTR/L
• Selena Langbehn
• Valerie L Lanier, DNP, AGPCNP-C, APRN
• Irit Lantzman, LCSW
• Samantha Laratta
• Kristy Larsen
• Michelle Yvonne Larue, CSA
• Meredith A Lassiter, D.O.
• Sydney Lau
• Lauer Enterprises LLC (Ellie Mental Health)

• Vision Therapy Optometrist in Roswell, GA
• Providers in Roswell, GA by specialty
• Vision Therapy Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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.