MRS. LARISSA MARIE NICHOLS (NPI# 1568643476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568643476 |
| Entity Type | Individual |
| Full Name | MRS. LARISSA MARIE NICHOLS |
| Credential | CERTIFIED OPTICIAN |
| Practice Address |
3565 Del Amo Blvd Torrance CA 90503-1637 |
| Mailing Address |
Po Box 6900 Torrance CA 90504-0100 |
| Practice Telephone | 3102140811 |
| Practice Fax Number | 3107934658 |
| Mailing Telephone | 3102140811 |
| Mailing Fax Number | 3107934658 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
173420 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285012807 | Larissa Nichols | Behavioral Analyst | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2015-05-14 |
| Street Address |
3565 DEL AMO BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574206 | Aeree Yoon | Internal Medicine | 3565 Del Amo Blvd, Torrance, CA 90503 | 2005-08-04 |
| 1982179701 | Kyung Ahn | Pharmacist | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2018-10-08 |
| 1558808527 | Christine Panopio | Registered Nurse | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2017-01-27 |
| 1790220879 | Dominique Benjamin | Registered Nurse | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2016-12-28 |
| 1700240801 | Sheena Dhadwal | Internal Medicine | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2016-04-05 |
| 1275992190 | Karl Lexter Reyes | Nurse Practitioner | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2016-02-20 |
| 1235504614 | Jaszmin Lacole Gray | Registered Nurse | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2015-12-10 |
| 1326434887 | Lac Janes Viet Duong | Nurse Practitioner | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2015-04-11 |
| 1851782718 | Jessica Rose Darling | Nurse Practitioner | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2015-02-13 |
| 1255764858 | Benjamin Vallejo | Technician/Technologist | 3565 Del Amo Blvd, Suite #203, Torrance, CA 90503-1637 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837929 | Bushra Abraham | Technician/Technologist | 2370 Crenshaw Blvd Ste I-1, Torrance, CA 90501-3352 | 2019-12-07 |
| 1104362615 | National Vision, Inc. | Technician/Technologist | 19800 Hawthorne Blvd, Suite 200, Torrance, CA 90503-1515 | 2017-01-09 |
| 1255764858 | Benjamin Vallejo | Technician/Technologist | 3565 Del Amo Blvd, Suite #203, Torrance, CA 90503-1637 | 2013-08-19 |
| 1083969232 | Jay's Golf Academy Inc. | Technician/Technologist | 24228 Crenshaw Blvd, Torrance, CA 90505-5303 | 2012-07-13 |
| 1922289834 | Manuel E Vasquez | Technician/Technologist | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2007-11-19 |
| 1902022924 | In Yul Kim | Technician/Technologist | 16300 Crenshaw Blvd, #105, Torrance, CA 90504-1439 | 2007-04-18 |
| 1356430839 | Sam's Club Optical | Technician/Technologist | 2601 Skypark Dr, Torrance, CA 90505-5313 | 2006-10-12 |
| 1043308547 | Wal-mart Stores, Inc. | Technician/Technologist | 19503 Normandie Ave, Torrance, CA 90501-1361 | 2006-10-10 |
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| 1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
| 1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
| 1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
| 1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
| 1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
| 1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
| 1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
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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.