Individual provider Active NPI

Teresa A Larcom, O.D.

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1912062837
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TO3126 Issued in MO
Practice address
8025 State Line Rd
Kansas City, MO 64114-2016
Phone
(816) 444-2393
Fax
(816) 444-2394
NPI assigned
Dec 22, 2006
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TO3126 MO Primary
Optometrist 152W00000X 1402 KS

Addresses

Primary practice location

8025 State Line Rd
Kansas City, MO 64114-2016

Mailing address

10215 E State Route 350
Raytown, MO 64138-1818
Phone (816) 444-2393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050208000757 MO Practitioner - Optometry 3375594245 Reassigns benefits to 2 organizations
I20051115000531 KS Practitioner - Optometry 3375594245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laferla Family Eyecare OD PCGroup PAC ID 7012900533, 2 clinicians

Practice addresses (Care Compare)

821 N 7TH St
101 KCK Vision Associates
Kansas City, KS 66101-3036
Phone (913) 233-1199

8301 N Congress Ave
Kansas City, MO 64152-2041
Phone (816) 741-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1402KSMDOptometrist
TO3126MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zona Rosa Eyecare Inc Optometrist CurrentSince Jun 1, 2012 Accepting new patients
Wes Johnson OD PA Optometrist CurrentSince Jun 1, 2012 Accepting new patients
Laferla Family Eyecare OD PC CurrentSince Mar 12, 2020 Accepting new patients
Acuity, Inc Optometrist CurrentSince Oct 21, 2015 Accepting new patients
Professional Eyecare Management Inc. Optometrist Past Accepting new patients
Professional Eyecare - Bannister Optometrist Past Accepting new patients
Professional Eyecare Zona Rosa Inc. Optometrist Past Accepting new patients
Professional Eyecare Metro North Inc Optometrist Past Accepting new patients
Snider & Associates Optometry, PC Optometrist Past Accepting new patients

Locations

821 N 7th St
Ste 101
Kansas City, KS 66101
Phone (913) 233-1199

6575 W 119th St
Overland Park, KS 66209
Phone (913) 696-0092

9216 Metcalf Ave
#A
Overland Park, KS 66212
Phone (913) 387-4134

8301 N Congress Ave
Kansas City, MO 64152
Phone (816) 741-6737

8403 N Mercier St
Kansas City, MO 64155
Phone (816) 468-1220

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1912062837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 E STATE ROUTE 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641381818",
            "telephone_number": "816-444-2393",
            "fax_number": "816-444-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142016",
            "telephone_number": "816-444-2393",
            "fax_number": "816-444-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARCOM",
        "first_name": "TERESA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3126",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.