MATTHEW LARSON (NPI# 1316352834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316352834 |
| Entity Type | Individual |
| Full Name | MATTHEW LARSON |
| Credential | OD |
| Practice Address |
3450 Lacey Rd Downers Grove IL 60515-5430 |
| Practice Telephone | 6307434807 |
| Mailing Telephone | 6307434807 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046010940 | IL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 18003852A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 046010940 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043534878 | Matthew Golden Larson | Chiropractor | 9316 Carnation Duvall Rd Ne, Carnation, WA 98014-6706 | 2010-03-23 |
| 1417113648 | Matthew J Larson | Driver | 2112 Hoffman Rd, Mankato, MN 56001-5829 | 2008-08-07 |
| 1326002437 | Matthew G. Larson | Social Worker | 24 S 600 E, Ste. 6, Slc, UT 84102 | 2006-04-14 |
| 1346703634 | Matthew Daniel Larson | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-04-12 |
| 1205315108 | Matthew Larson | Physical Therapist | 433 Mendota Rd E, West St Paul, MN 55118-5104 | 2018-08-10 |
| 1316444615 | Matthew Erick Larson | Radiology | 600 Highland Ave, Madison, WI 53792-0001 | 2018-04-12 |
| 1982941027 | Matthew Larson | Social Worker | 16 12th Ave S, Suite 201, Nampa, ID 83651-3936 | 2013-01-09 |
| 1922353739 | Matthew W Larson | Pharmacist | 23 Slayton Ave, Spencerport, NY 14559-1427 | 2012-07-17 |
| 1609134675 | Matthew Thor Larson | Pharmacist | 20 W Main St, Crosby, MN 56441-1422 | 2012-04-27 |
| 1710243795 | Matthew H Larson | Counselor | 390 East 100 South, Ephraim, UT 84627 | 2012-04-04 |
| Street Address |
3450 LACEY RD |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-5430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982685707 | Rebecca Siscel | Dentist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2005-11-09 |
| 1376187559 | Meredith S Saletta | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2019-10-31 |
| 1356818041 | Drauseo T Speratti | Dentist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-10-31 |
| 1215428222 | Vakishan Nadarajah | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-05-24 |
| 1336639723 | Abbey Leigh Richeson | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-05-11 |
| 1245739481 | Midwestern University | Physical Therapist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-02-02 |
| 1538667381 | Cynthia L Ward | Speech-Language Pathologist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-01-26 |
| 1447779442 | Kristin L Adams | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2017-09-12 |
| 1801314505 | Constanza E Fernandez Gonzalez | Dentist | 3450 Lacey Rd, Dental Institute, Downers Grove, IL 60515 | 2017-09-01 |
| 1275057630 | Hye Seon Yoo | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2017-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| 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 |
|---|---|---|---|---|
| 1790054609 | Midwest Eye, P.C. | Optometrist | 2600 Warrenville Rd, Suite 211, Downers Grove, IL 60515-1761 | 2011-12-21 |
| 1598048274 | Rabia Ansari | Optometrist | 1530 W 75th St, Downers Grove, IL 60516 | 2011-09-20 |
| 1083737241 | Sumi Kim | Optometrist | 1412 Butterfield Rd, Downers Grove, IL 60515-1031 | 2007-04-10 |
| 1629149224 | Michele Albanese | Optometrist | 1402 Butterfield Rd, Downers Grove, IL 60515-1031 | 2006-11-13 |
| 1184703142 | George Nagy | Optometrist | 134 Ogden Ave, Downers Grove, IL 60515-2322 | 2006-11-02 |
| 1568561447 | Giancola, Kampschroeder & Halkias P.C. | Optometrist | 6840 Main St # 250, Downers Grove, IL 60516 | 2006-09-21 |
| 1447266929 | Glenn E. Afryl | Optometrist | 145 Ogden Ave, Downers Grove, IL 60515-2323 | 2006-08-01 |
| 1538167168 | Todd Arthur Robert | Optometrist | 3800 Highland Ave, Ste. 100, Downers Grove, IL 60515-1557 | 2005-07-08 |
| 1114413978 | Manali R. Patel | Optometrist | 1327 Butterfield Rd Ste 618, Downers Grove, IL 60515-1001 | 2018-07-05 |
| 1215428222 | Vakishan Nadarajah | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2018-05-24 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
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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.