Active NPI
Leann J Larson, MD
- Ophthalmology Physician
- Hiawatha, IA
National Provider Identifier
1972595767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 33166
- Practice address
- 1195 Boyson Rd Ste 200
Hiawatha, IA 52233-2214 - Phone
- (319) 362-8032
- Fax
- (319) 362-6098
- NPI assigned
- Aug 17, 2005
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 33166 | IA | Primary |
Addresses
Primary practice location
1195 Boyson Rd Ste 200
Hiawatha, IA 52233-2214
Mailing address
309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200
Other practice location 1
1245 2nd Ave SE
Cedar Rapids, IA 52403-4001
Phone (319) 362-8032 ext. 5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180037625 | Other | IA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riley F Uglum, OD PC | Past | Accepting new patients |
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.
-
- Optometrist
- New Hampton, IA
- NPI 1013188564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972595767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E CHURCH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582946",
"telephone_number": "641-754-6200",
"fax_number": "641-752-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1195 BOYSON RD STE 200",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332214",
"telephone_number": "319-362-8032",
"fax_number": "319-362-6098"
}
],
"practiceLocations": [
{
"address_1": "1245 2nd Ave SE",
"address_purpose": "LOCATION",
"city": "Cedar Rapids",
"state": "IA",
"postal_code": "524034001",
"country_code": "US",
"telephone_number": "319-362-8032 x5400",
"fax_number": "319-362-6098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "LEANN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "33166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180037625",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.