Active NPI
Raymond Lloyd Larsen, M.D.
- Ophthalmology Physician
- Jamestown, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 3722
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 791181009 | Other | ND | RAILROAD MEDICARE |
| 1462502 | Medicaid | ND | |
| LAR803722 | Other | ND | ND VISION SERVICES BCBS |
| 521001 | Other | ND | PREFERRED ONE |
| N1441 | Other | ND | BCBS ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RLarsen@updoxdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 30 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3722 | ND | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raymond L. Larsen, MD | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Jamestown, ND
- NPI 1043601065
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jamestown Regional Medical Center
- Critical Access Hospital
- Jamestown, ND
- NPI 1548256753
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.