DAVID P LARSEN (NPI# 1417953308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417953308 |
| Entity Type | Individual |
| Full Name | DAVID P LARSEN |
| Credential | OD |
| Practice Address |
1330 N Superior Ave Tomah WI 54660-1130 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6083724458 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2016-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2311 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38581400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518012483 | David S Larsen | Psychiatry & Neurology | 3351 Hobson Rd., Suite A, Woodridge, IL 60517-1689 | 2007-01-23 |
| 1902908304 | David W Larsen | Dentist | 1655 N 1st St, Grand Junction, CO 81501-2124 | 2006-09-05 |
| 1881622124 | David Larsen | Family Medicine | 6000 W 41st St, Sioux Falls, SD 57106-3012 | 2006-06-28 |
| 1851390108 | David T Larsen | Radiology | 3000 Corporate Ct, Suite 400, Flower Mound, TX 75028-2299 | 2005-07-19 |
| 1609225960 | David Larsen | Family Medicine | 705 E Marshall Ave Ste 1002, Longview, TX 75601 | 2016-06-08 |
| 1659764074 | David Larsen | Specialist/Technologist | 21726 Placerita Canyon Rd, Santa Clarita, CA 91321-1235 | 2015-03-10 |
| 1932527827 | David J Larsen | Pediatrics | 1151 Hospital Way Bldg F, Pocatello, ID 83201-5091 | 2014-03-29 |
| 1205015518 | David Arnold Larsen | Surgery | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2007-11-02 |
| 1346335981 | David Larsen | Family Medicine | 655 Lexington Ave, Jackson, TN 38301-5075 | 2006-10-03 |
| 1114032885 | David Larsen | Anesthesiology | 3181 Sw Sam Jackson Park Rd, Uhs-2, Portland, OR 97239-3011 | 2006-08-20 |
| Street Address |
1330 N SUPERIOR AVE |
| City | TOMAH |
| State | WI |
| Zip Code | 54660-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668024 | Glenna J Olson | Physician Assistant | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2005-06-13 |
| 1619435948 | Rachel Ann Robarge | Nurse Practitioner | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2019-03-05 |
| 1508376468 | Emily Ann Rodriguez | Registered Nurse | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2017-10-05 |
| 1831586239 | Brent Allen Fuerbringer | Podiatrist | 1330 N Superior Ave, Tomah, WI 54660 | 2015-04-23 |
| 1538555073 | Peter J Hordyk | Podiatrist | 1330 N Superior Ave, Tomah, WI 54660 | 2015-04-10 |
| 1386053429 | Amy Marie Atherton | Optometrist | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2014-08-02 |
| 1861793028 | Timothy O Minus | Surgery | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2010-11-04 |
| 1396066387 | Robert Anthony Holness | Obstetrics & Gynecology | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2010-06-14 |
| 1811215734 | Kimberly A Tate | Nurse Practitioner | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2010-05-17 |
| 1053561852 | Bradley Duane Maurhoff | Physician Assistant | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2008-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
| 1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
| 1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
| 1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
| 1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
| 1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| 1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
| Find all providers in zip 54660 | ||||
| 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 |
|---|---|---|---|---|
| 1548413107 | Family Vision Center of La Crosse | Optometrist | 1825 N Superior Ave, Tomah, WI 54660-1683 | 2008-10-28 |
| 1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
| 1215973912 | Joyce Jordahl Nash | Optometrist | Veterans Administration, 500 East Veterans St, Tomah, WI 54660 | 2006-06-21 |
| 1427052182 | Thomas E Boulden | Optometrist | 325 Butts Ave, Tomah, WI 54660-1412 | 2005-06-10 |
| 1386053429 | Amy Marie Atherton | Optometrist | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2014-08-02 |
| 1215976923 | Gundersen Clinic, Ltd. | Optometrist | 505 Gopher Dr, Tomah, WI 54660-4513 | 2006-06-06 |
| 1598719726 | Anjela Kay Krome | Optometrist | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939288 | Myeyedr Optometry of Wisconsin, LLC | Optometrist | 2505 N Mayfair Rd Ste 100, Wauwatosa, WI 53226-1404 | 2020-07-15 |
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1891311775 | Elizabeth Carman Somers | Optometrist | 3621 Market Ln, Kenosha, WI 53144-1553 | 2020-06-17 |
| 1760008619 | Melanie Nielsen | Optometrist | S73w16437 Janesville Rd, Muskego, WI 53150-9723 | 2020-06-16 |
| 1487278479 | Alyssa Chrisman | Optometrist | 2910 Roosevelt Rd # D1, Marinette, WI 54143-5108 | 2020-06-04 |
| 1043859341 | Site 4 Eyes | Optometrist | 7245 S 76th St, Franklin, WI 53132-9041 | 2020-01-03 |
| 1932745163 | Mauston Family Eyecare, LLC | Optometrist | 205 Division St Ste A, Mauston, WI 53948-2110 | 2019-11-22 |
| 1114562345 | Dr Christopher D Smith & Associates LLC | Optometrist | 2665 Monroe Rd Ste 100, De Pere, WI 54115-9287 | 2019-11-12 |
| 1013564111 | Ayman Tabani | Optometrist | 9160 76th St Unit C, Kenosha, WI 53158-1945 | 2019-08-22 |
| 1104473537 | Espy Specs Sc | Optometrist | 2720 Golf Rd, Eau Claire, WI 54701-8011 | 2019-08-21 |
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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.