KELLY KRISTINE LARSEN (NPI# 1831134600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831134600 |
| Entity Type | Individual |
| Full Name | KELLY KRISTINE LARSEN |
| Other Name | KELLY KRISTINE LUTHY |
| Credential | O.D. |
| Practice Address |
720 Birchwood Ave Bellingham WA 98225-1714 |
| Mailing Address |
Po Box 5566 Bellingham WA 98227-5566 |
| Practice Telephone | 3607331720 |
| Practice Fax Number | 3607330109 |
| Mailing Telephone | 3607331720 |
| Mailing Fax Number | 3607330109 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2015-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD00003987 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2031367 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730495169 | Kelly Jean Larsen | Occupational Therapy Assistant | 12460 Birch Dr, Brookfield, WI 53005-3862 | 2010-08-23 |
| 1942756804 | Kelly C Larsen | Psychologist | 500 Laser Rd Ne, Rio Rancho, NM 87124-4517 | 2016-08-31 |
| 1073851093 | Kelly Larsen | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2013-01-25 |
| 1497024152 | Kelly J Larsen | Counselor | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2011-12-23 |
| Street Address |
720 BIRCHWOOD AVE |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992782023 | Brian J Koning | Optometrist | 720 Birchwood Ave, Bellingham, WA 98225-1714 | 2005-12-29 |
| 1093330433 | Hannah Margaret Joyner | Optometrist | 720 Birchwood Ave, Bellingham, WA 98225-1714 | 2020-06-11 |
| 1316166416 | Mt. Baker Vision Clinc | Optometrist | 720 Birchwood Ave, Bellingham, WA 98225-1714 | 2007-04-25 |
| 1740318518 | Jeffrey A Larson | Optometrist | 720 Birchwood Ave, Bellingham, WA 98225-1714 | 2007-03-01 |
| 1750419115 | Wayne R Musselman | Optometrist | 720 Birchwood Ave, Bellingham, WA 98225-1714 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| 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 |
|---|---|---|---|---|
| 1437774734 | Vision Plus of Barkley Pllc | Optometrist | 2900 Woburn St Ste 101, Bellingham, WA 98226-3865 | 2020-06-11 |
| 1417425943 | Patrick Squires, O.d., LLC | Optometrist | 2421 Yew Street Rd, Bellingham, WA 98229-8811 | 2018-11-02 |
| 1366816340 | Jinous Ferdosian | Optometrist | 1225 E Sunset Dr Ste 125, Bellingham, WA 98226-3591 | 2015-11-13 |
| 1720323306 | Clearview Eyecare, Pllc | Optometrist | 410 W. Bakerview Rd, Suite 107, Bellingham, WA 98226 | 2012-12-07 |
| 1609126143 | James D. Cornwell, Od | Optometrist | 4420 Meridian Street, Bellingham, WA 98226 | 2012-09-12 |
| 1467682146 | Pan Vision Inc | Optometrist | 4299 Guide Meridian, Bellingham, WA 98226-6475 | 2009-07-16 |
| 1992963433 | Darlene Mae Anker | Optometrist | 410 W Bakerview Rd, Suite 107, Bellingham, WA 98226-8184 | 2008-05-31 |
| 1801082391 | Bellingham Vision Clinic Inc | Optometrist | 707 E Holly St, Bellingham, WA 98225-4712 | 2007-09-19 |
| 1891819413 | Spencer M Young | Optometrist | 3080 Northwest Ave, Bellingham, WA 98225-1607 | 2007-03-19 |
| 1518081264 | Amy A Bearden | Optometrist | 2222 James St Ste A, Bellingham, WA 98225-4152 | 2007-03-19 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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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.