DR. VIKTORIA LARSON DAVIS (NPI# 1477558302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477558302 |
| Entity Type | Individual |
| Full Name | DR. VIKTORIA LARSON DAVIS |
| Other Name | MISS VIKTORIA JANET LARSON |
| Credential | O.D. |
| Practice Address |
115 Drew Ave Se Ste 201 Madelia MN 56062-1841 |
| Practice Telephone | 5076423853 |
| Practice Fax Number | 5076423854 |
| Mailing Telephone | 5076423853 |
| Mailing Fax Number | 5076423854 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2730 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 136600900 | 05 | |
| MN | BLUE CROSS BLUE SHIELD OF MN | 288R1DA | 01 |
| Street Address |
115 DREW AVE SE STE 201 |
| City | MADELIA |
| State | MN |
| Zip Code | 56062-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821652710 | Haley Lea Reed | Dental Hygienist | 115 Drew Ave Se, Madelia, MN 56062-1873 | 2019-04-25 |
| 1255895124 | Emily Kaye Reibert | Dental Hygienist | 115 Drew Ave Se, Madelia, MN 56062-1873 | 2019-01-24 |
| 1093027526 | Gavin Eye Consulting Pllc | Ophthalmology | 115 Drew Ave Se, Suite 201, Madelia, MN 56062-1873 | 2010-07-13 |
| 1407000490 | Jodi Lynn Hager | Dental Hygienist | 115 Drew Ave Se, Suite 202, Madelia, MN 56062-1873 | 2008-11-04 |
| 1831223833 | Stephen C Marquard | Dentist | 115 Drew Ave Se, Ste 202, Madelia, MN 56062-1870 | 2007-03-14 |
| 1003978693 | David Bruzek | Dentist | 115 Drew Ave Se, Madelia, MN 56062-1841 | 2006-12-14 |
| 1962563874 | Teresa Evelyn Johnson | Dentist | 115 Drew Ave Se, Madelia, MN 56062-1841 | 2006-12-13 |
| 1518028091 | Apple Tree Dental | Dentist | 115 Drew Ave Se, Madelia, MN 56062-1841 | 2006-12-12 |
| 1881678373 | James R Eiselt | Family Medicine | 115 Drew Ave Se, Madelia, MN 56062-1841 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124405451 | Tammy Ulmen | Marriage & Family Therapist | 105 Center Ave N, Madelia, MN 56062 | 2015-05-06 |
| 1902981590 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 226 Drew Avenue Se, Madelia, MN 56062 | 2006-10-25 |
| 1841693389 | Dennis Wanzek | Pharmacist | 622 1st St Sw, Madelia, MN 56062-1214 | 2014-09-29 |
| 1376006262 | Kyndra Jo Meyer | Registered Nurse | 12 Gilbert Ave Sw, Madelia, MN 56062-1244 | 2019-04-09 |
| 1114012069 | Scott Michael Kirchner | Chiropractor | 24 Center Ave N, Madelia, MN 56062-1428 | 2006-10-04 |
| 1568994226 | Stepping Stones Mental Health Center, LLC | Community/Behavioral Health | 105 Center Ave N, Madelia, MN 56062-1429 | 2017-03-31 |
| 1295104032 | Mary Lehman | Pharmacist | 9 E Main St, Madelia, MN 56062-1435 | 2015-09-23 |
| 1265815765 | Lewis Family Drug, LLC | Pharmacy | 9 E Main St, Madelia, MN 56062-1435 | 2015-07-01 |
| 1073528667 | Wanzek Pharmacy Inc | Pharmacy | 12 W Main St, Madelia, MN 56062-1438 | 2006-07-30 |
| 1073711545 | City of Madelia | Ambulance | 116 W Main St, Madelia, MN 56062-1440 | 2007-07-06 |
| Find all providers in zip 56062 | ||||
| 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 |
|---|---|---|---|---|
| 1144494410 | Madelia Optometric, Inc. | Optometrist | 115 Drew Ave Se Ste 201, Madelia, MN 56062-1841 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615069 | Eagan Eye Clinic LLC | Optometrist | 12390 Sherburne Ave, Becker, MN 55308-9147 | 2020-10-02 |
| 1750998100 | Infinity Eye Care | Optometrist | 1275 Ramsey St Ste 700, Shakopee, MN 55379-3131 | 2020-09-29 |
| 1831700798 | Muychi Timothy Vang | Optometrist | 11217 Commerce Dr N, Champlin, MN 55316-3122 | 2020-08-13 |
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1699399592 | Nicole Rene Schmiedt | Optometrist | 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 | 2020-06-05 |
| 1700409885 | Russell N Osnes Od & Associates Pa | Optometrist | 1340 Duckwood Dr Ste 14, Eagan, MN 55123-2324 | 2020-05-22 |
| 1225657067 | Viginia Ho | Optometrist | 680 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-04-12 |
| 1992331359 | Megan Kaye Horter | Optometrist | 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 | 2020-03-18 |
| 1639704232 | Barton Eye Care LLC | Optometrist | 2306 S Broadway St Ste 12, Alexandria, MN 56308-1883 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
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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.