Christy L Larson, O.D.
Individual provider Active NPI Optometrist · Sanford, FL
NPI 1821160201 · NPPES record last updated Apr 13, 2020
Key facts
- NPI
- 1821160201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OP3069 (FL)
- Practice address
- 5680 Wayside Dr
Sanford, FL 32771-8625 - Phone
- (407) 333-3937
- Fax
- (407) 333-4500
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aeg Florida Professional PLLC
Practice addresses (Care Compare)
5680 Wayside Dr
Sanford, FL 32771-8625
Phone (407) 333-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019001485 | FL | Practitioner - Optometry | 2668553538 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP3069 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Florida Professional PLLC | Optometrist | Current |
Accepting new patients |
| Advanced Eye Care of Central Florida Inc | Optometrist | Current |
Accepting new patients |
| DRS. Perry, Perry & Associates, Orlando, P.a. | Optometrist | Past |
Accepting new patients |
Locations
4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991
560 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 333-7333
5330 SW College Rd
#O
Ocala, FL 34474
Phone (352) 512-0560
5680 Wayside Dr
Sanford, FL 32771
Phone (407) 333-3937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP3069 | FL | Yes |
Addresses
Primary practice location
5680 Wayside Dr
Sanford, FL 32771-8625
Mailing address
5680 Wayside Dr
Sanford, FL 32771-8625
Phone (407) 333-3937
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.