KATHRYN L LARSSON (NPI# 1750375440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750375440 |
| Entity Type | Individual |
| Full Name | KATHRYN L LARSSON |
| Credential | O.D. |
| Practice Address |
1150 W Orangeburg Ave Modesto CA 95350 |
| Mailing 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 | 2005-09-08 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4069 | TX | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 9225T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0092250 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 541 S Ham Ln Ste A, Lodi, CA 952423530 | 2093332020 | 2093331188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780738807 | Kathryn Larsson | Counselor | 3711 58th Sw, Seattle, WA 98116 | 2007-01-23 |
| Street Address |
1150 W ORANGEBURG AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1659864395 | Kathryn Larsson, O.d. | Clinic/Center | 1150 W Orangeburg Ave, Modesto, CA 95350-4042 | 2018-06-07 |
| 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 | 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 |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1578913869 | Lidia Tekie | Optometrist | 1208 Floyd Ave Bldg C, Modesto, CA 95350-2470 | 2016-06-16 |
| 1215186598 | Lina Lee | Optometrist | 3200 Sisk Rd, Modesto, CA 95356-0546 | 2008-09-11 |
| 1366600082 | Peter S. Klem Fred P. Guarcello Ptr | Optometrist | 4028 Dale Road, Suite 102, Modesto, CA 95356-9561 | 2008-05-29 |
| 1104001965 | Erika Bray Ortega | Optometrist | 2401 E Orangeburg Ave Ste 280, Modesto, CA 95355-3396 | 2007-12-29 |
| 1114131141 | Stanislaus Optometric Center, Inc. | Optometrist | 4028 Dale Rd Ste 102, Modesto, CA 95356-9505 | 2007-05-09 |
| 1255450524 | Richard Alan Portillo | Optometrist | 1624 I St, Modesto, CA 95354-1122 | 2007-03-28 |
| 1619028842 | Lincoln Andrus Service Jr. | Optometrist | 3500 Sisk Rd, Best Plaza Ste E, Modesto, CA 95356-0550 | 2007-01-15 |
| 1336201615 | Keith Yun Kong Wong | Optometrist | 3401 Dale Rd, Suite 300, Modesto, CA 95356-0505 | 2006-12-14 |
| 1760558498 | L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr | Optometrist | 3601 Coffee Rd, Modesto, CA 95355 | 2006-11-27 |
| Find all providers in MODESTO | ||||
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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.