KATHRYN LARSSON, O.D. (NPI# 1659864395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659864395 |
| Entity Type | Organization |
| Organization Name | KATHRYN LARSSON, O.D. |
| Practice Address |
1150 W Orangeburg Ave Modesto CA 95350-4042 |
| Practice Telephone | 2095269883 |
| Practice Fax Number | 2095268681 |
| Mailing Telephone | 2095269883 |
| Mailing Fax Number | 2095268681 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | KATHRYN LARSSON (OPTOMETRIST/ OWNER) |
| Authorized Official Telephone | 2095269883 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
9225T | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 6012490001 | 05 |
| Street Address |
1150 W ORANGEBURG AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750375440 | Kathryn L Larsson | Optometrist | 1150 W Orangeburg Ave, Modesto, CA 95350 | 2005-09-08 |
| 1952916777 | Alliance Hearing Aids LLC | Hearing Aid Equipment | 1150 W Orangeburg Ave, Modesto, CA 95350-4042 | 2020-09-09 |
| 1932692142 | Gerald Edward Vietor | Hearing Instrument Specialist | 1150 W Orangeburg Ave, Modesto, CA 95350-4042 | 2018-06-12 |
| 1356887590 | Audrx LLC | Hearing Aid Equipment | 1150 W Orangeburg Ave, Modesto, CA 95350-4042 | 2017-01-11 |
| 1093847733 | Gary Ronald Baker | Technician/Technologist | 1150 W Orangeburg Ave, Modesto, CA 95350-4042 | 2007-03-09 |
| 1588636658 | Holden Optical Co. Inc. | Prosthetic/Orthotic Supplier | 1150 W Orangeburg Ave, Modesto, CA 95350-4042 | 2006-02-03 |
| 1073585410 | Holden Optical Inc. | Hearing Aid Equipment | 1150 W Orangeburg Ave, Modesto, CA 95350-4042 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306478672 | Lancaster Surgery Center LLC | Clinic/Center | 1741 W Avenue J, Lancaster, CA 93534-2703 | 2020-02-05 |
| 1588203988 | High Desert Eye Medical Group, Inc | Clinic/Center | 16030 Kamana Road, Apple Valley, CA 92307-9230 | 2020-01-02 |
| 1194243394 | Jon L Siems Md Inc | Clinic/Center | 31515 Rancho Pueblo Rd Ste 103, Temecula, CA 92592-4837 | 2017-09-07 |
| 1568918449 | The Cataract Vision Institute LLC | Clinic/Center | 3998 Inland Empire Blvd, Ontario, CA 91764-5032 | 2016-08-30 |
| 1417345885 | The Lasik Vision Institute | Clinic/Center | 7088 N Maple Ave, Suite 105, Fresno, CA 93720-0101 | 2015-01-07 |
| 1437565298 | Dr. Barbara S. Yates, Inc. | Clinic/Center | 4804 Laurel Canyon Blvd # 1200, Valley Village, CA 91607-3717 | 2014-07-01 |
| 1770865735 | Vision Institute of Southern California A Professional Medical Corpora | Clinic/Center | 18725 Gale Ave Ste 140, City of Industry, CA 91748-1358 | 2011-09-15 |
| 1548583255 | Gold Coast Vision LLC | Clinic/Center | 461 W 5th St, Oxnard, CA 93030-7049 | 2010-03-09 |
| 1942523139 | Advanced Laser Center | Clinic/Center | 350 S Winchester Blvd, Suite 250, San Jose, CA 95128-2092 | 2010-03-02 |
| 1447485156 | Humboldt Physicians Surgery and Laser Center LLC | Clinic/Center | 3226 Timber Fall Court, Eureka, CA 95503-4888 | 2009-05-26 |
| 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.