Ellen Larsen

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007068 Issued in OH

Practice address

2314 Taylor Park Dr
Reynoldsburg, OH 43068-8052

Phone

(614) 863-0071

Fax

(614) 856-0534

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Grace Vision, LLCGroup PAC ID 1658754783, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ei-spectrum

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Vision, LLC

  • Clinic/Center
  • Reynoldsburg, OH
  • NPI 1225461544
  Medicare reassignment Care Compare group NPD
• Spectrum Eye Care, Inc.

  • Ophthalmology Physician
  • Findlay, OH
  • NPI 1821095381

  Optometrist

  Medicare reassignment NPD
• Spectrum Eye Care Inc

  • Eyewear Supplier
  • Findlay, OH
  • NPI 1396828067

  Optometrist

  NPD

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1992444772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 TAYLOR PARK DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688052",
            "telephone_number": "614-863-0071",
            "fax_number": "614-856-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 TAYLOR PARK DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688052",
            "telephone_number": "614-863-0071",
            "fax_number": "614-856-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Renee Lane
• David Lang, MD
• Kingsley Ohene Larbi
• Tina Larkins-Berry, RN
• John N. Larrimer, M.D.
• Eden Lauffer, M.ED., ED.S.
• Laura Irene Davis
• Innocent Lawani
• LBS International
• LBS International

• Optometrist in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.