Folsom Optometry Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

6725T Issued in CA

Legal business name

FOLSOM OPTOMETRY CENTER

Practice address

1115 E Bidwell St Ste 124
Folsom, CA 95630-5554

Phone

(916) 983-1066

Fax

(916) 984-6922

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Larrance Edwin LarsonNPI 1437133188

Title

Owner/Optometrist

Phone

(916) 983-1066

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larrance Edwin Larson, O.D.

  • Optometrist
  • Folsom, CA
  • NPI 1437133188
  NPD (past) Authorized official
• Kanako Margaret Tomita, O.D.

  • Optometrist
  • Folsom, CA
  • NPI 1811972276
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1871769950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E BIDWELL ST STE 124",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305554",
            "telephone_number": "916-983-1066",
            "fax_number": "916-984-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E BIDWELL ST STE 124",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305554",
            "telephone_number": "916-983-1066",
            "fax_number": "916-984-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM OPTOMETRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "LARRANCE",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "916-983-1066"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6725T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Folsom in-Patient Medical Group
• Folsom Lake Primary Care PC
• Folsom Medical Practice Inc
• Folsom Medical Supply LLC
• Folsom Obstetrics & Gynecology Medical Group Inc (Folsom Obstetrics and Gynecology Medical Group Inc)
• Folsom Orthopaedic Surgery & Sports Injury Medical Clinic, Inc.
• Folsom Outpatient Surgery Center, LP (Folsom Surgery Center)
• Folsom Physical Therapy & Training Center Inc
• Folsom Physical Therapy and Training Center
• Folsom Plaza Surgical Associates, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.