DR. COLETTE IRENE LARSEN (NPI# 1902234602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902234602 |
| Entity Type | Individual |
| Full Name | DR. COLETTE IRENE LARSEN |
| Credential | O.D. |
| Practice Address |
11005 Pines Blvd Ste 510 Pembroke Pines FL 33026-5217 |
| Mailing Address |
2259 Nova Village Dr Davie FL 33317-7032 |
| Practice Telephone | 9542485010 |
| Mailing Telephone | 9088924333 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC4837 | FL | Eye and Vision Services Providers |
| Street Address |
11005 PINES BLVD STE 510 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-5217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| 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 |
|---|---|---|---|---|
| 1376185769 | Karla Delgado | Optometrist | 10011 Nw 4th St, Pembroke Pines, FL 33024-6155 | 2019-10-17 |
| 1689187676 | Glenda Aleman Moheeputh | Optometrist | 19244 Nw 12th St, Pembroke Pines, FL 33029-4500 | 2017-11-13 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1043764574 | Enas Shehadeh | Optometrist | 10450 Sw 7th Ct Apt 311, Pembroke Pines, FL 33025-1869 | 2016-08-13 |
| 1396150389 | Sarah Shamim Shafi | Optometrist | 18325 Nw 21st St, Pembroke Pines, FL 33029-3709 | 2014-06-27 |
| 1659705465 | Christian Armando Hernandez | Optometrist | 1732 University Drive, Pembroke Pines, FL 33024 | 2013-08-28 |
| 1942547021 | Steven M. Newman O.d, P.a | Optometrist | 255 N University Dr, Pembroke Pines, FL 33024-6715 | 2013-01-10 |
| 1003168253 | Premier Vision Center Inc | Optometrist | 131 Sw 117th Ave, 203, Pembroke Pines, FL 33025-4915 | 2012-10-12 |
| 1679822886 | Kathryn Anne Larkin | Optometrist | 323 Sw 145th Ter Ste 3050, Pembroke Pines, FL 33027-1444 | 2012-09-04 |
| 1528342631 | Manuel Alfonso Muniz | Optometrist | 2051 Nw 93rd Ave, Pembroke Pines, FL 33024-3135 | 2011-10-06 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on DR. COLETTE IRENE LARSEN.
| 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.