DR. DOUGLAS FLOYD LARSEN (NPI# 1124183686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124183686 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS FLOYD LARSEN |
| Credential | O.D. |
| Practice Address |
41238 Margarita Rd Suite 105 Temecula CA 92591-5552 |
| Practice Telephone | 9516991111 |
| Practice Fax Number | 9516990101 |
| Mailing Telephone | 9516991111 |
| Mailing Fax Number | 9516990101 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2013-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 8403T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 8403T | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346317328 | Douglas Ray Larsen | Chiropractor | 2548 E 7th Ave, Flagstaff, AZ 86004-3719 | 2006-11-29 |
| 1003128059 | Douglas Steven Larsen | Physician Assistant | 701 Hewitt Blvd, Red Wing, MN 55066 | 2010-07-07 |
| 1952546731 | Douglas Alan Larsen | Pathology | 2401 S 31st St, Dept. of Pathology, Temple, TX 76508-0001 | 2008-12-09 |
| 1669635181 | Douglas Paul Larsen | Psychiatry & Neurology | 1 Childrens Pl Ste D, Ste D, Saint Louis, MO 63110-1002 | 2008-07-03 |
| 1417063736 | Douglas Phillip Larsen | Pediatrics | 103 Great Oaks Blvd, Albany, NY 12203 | 2006-08-21 |
| 1053386631 | Douglas C Larsen | Physician Assistant | 11704 W Center Rd, Suite 211, Omaha, NE 68144-4375 | 2006-02-17 |
| Street Address |
41238 MARGARITA RD SUITE 105 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-5552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189093 | Leticia Y Du | Pediatrics | 41238 Margarita Rd, #106, Temecula, CA 92591-5552 | 2005-07-28 |
| 1720346513 | Wesley Morikawa | Dentist | 41238 Margarita Rd, Suite 102, Temecula, CA 92591-5552 | 2012-04-30 |
| 1619112315 | Alwin William Bagingito Md Inc | Clinic/Center | 41238 Margarita Rd, Suite 104, Temecula, CA 92591-5552 | 2008-12-09 |
| 1508993676 | Antonio Hernandez Reza | Dentist | 41238 Margarita Rd, Suite 103, Temecula, CA 92591-5552 | 2007-02-27 |
| 1568482438 | Michael W Burke | Dentist | 41238 Margarita Rd, Suite 101, Temecula, CA 92591-5552 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1619404589 | Idocs Optometry, Inc. | Optometrist | 40820 Winchester Rd Ste 1360, Temecula, CA 92591-5533 | 2017-05-22 |
| 1659808616 | Tu Uyen Huu Nguyen | Optometrist | 46640 Via Vaquero, Temecula, CA 92590-5108 | 2017-05-20 |
| 1104350651 | Elizabeth Ngoc Ha Luu | Optometrist | 31304 Locust Ct, Temecula, CA 92592-6861 | 2017-04-11 |
| 1013340447 | Arthur Kim | Optometrist | 27540 Ynez Rd Ste J15, Temecula, CA 92591-4604 | 2013-08-21 |
| 1013247246 | Paul James Wilson | Optometrist | 26077 Arjuna Ave, Temecula, CA 92590-3541 | 2010-01-11 |
| 1114101003 | James E Creech | Optometrist | 41257 Margarita Road B103, Temecula, CA 92591-2850 | 2007-12-27 |
| 1992985378 | Firstsight Vision Services, Inc. | Optometrist | 32225 Us Highway 79 S, Temecula, CA 92592-6811 | 2007-11-14 |
| 1235269861 | Donny R. Broyles | Optometrist | 31685 Us Highway 79 S, Suite A, Temecula, CA 92592-2872 | 2007-03-06 |
| 1750431987 | James E Creech | Optometrist | 41238 Margarita Rd Ste 105, Temecula, CA 92591-5552 | 2007-01-11 |
| Find all providers in TEMECULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.