Individual provider Active NPI

Raymond Lloyd Larsen, M.D.

  • Ophthalmology Physician
  • Jamestown, ND
National Provider Identifier
1932193737
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
3722 Issued in ND
Practice address
920 10TH St SE Ste 1
Jamestown, ND 58401-5980
Phone
(701) 252-9020
Fax
(701) 252-2209
NPI assigned
Sep 7, 2005
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 3722 ND Primary

Addresses

Primary practice location

920 10TH St SE Ste 1
Jamestown, ND 58401-5980

Mailing address

920 10TH St SE Ste 1
Jamestown, ND 58401-5980
Phone (701) 252-9020

Other identifiers 5

IdentifierTypeStateIssuer
791181009OtherNDRAILROAD MEDICARE
1462502MedicaidND
LAR803722OtherNDND VISION SERVICES BCBS
521001OtherNDPREFERRED ONE
N1441OtherNDBCBS ND

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RLarsen@updoxdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061114000324 ND Practitioner - Ophthalmology 7214935881 Practice locations: Jamestown, ND
O20100930006699 ND DME Supplier - Physician - Ophthalmology 4981721123 Practice locations: Jamestown, ND

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

920 10TH St SE
Suite 1
Jamestown, ND 58401-5980
Phone (701) 252-9020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3722NDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond L. Larsen, MD Ophthalmology CurrentSince Jan 1, 1990 Accepting new patients

Locations

916 5th Ave NE
Jamestown, ND 58401
Phone (701) 252-6752

920 10th St SE
Ste 1
Jamestown, ND 58401
Phone (701) 252-9020

Interoperability endpoints

  • Direct secure messaging: rlarsen@updoxdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1932193737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 10TH ST SE STE 1",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015980",
            "telephone_number": "701-252-9020",
            "fax_number": "701-252-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 10TH ST SE STE 1",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015980",
            "telephone_number": "701-252-9020",
            "fax_number": "701-252-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "RAYMOND",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "3722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "791181009",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1462502",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND VISION SERVICES  BCBS",
            "identifier": "LAR803722",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "521001",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND",
            "identifier": "N1441",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RLarsen@updoxdirect.com",
            "affiliation": "N",
            "address_1": "920 10th St SE Ste 1",
            "city": "Jamestown",
            "state": "ND",
            "country_code": "US",
            "postal_code": "584015980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.