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JILL SUZANNE MELICHER LARSON MD NPI 1285788950


NPI Information

NPI: 1285788950
Provider Name: JILL SUZANNE MELICHER LARSON, MD
Classification: Ophthalmology - 207WX0200X
Entity Type: Individual

Specialization: Ophthalmic Plastic and Reconstructive Surgery

Organization: HENNEPIN HEALTHCARE SYSTEM INC

PECOS Registration: Yes

Address:
9801 DUPONT AVE S
200
BLOOMINGTON, MN
ZIP 55431
Phone: (952) 888-5800
Get Directions

Jill Suzanne Melicher Larson, MD is an ophthalmic plastic and reconstructive surgery ophthalmology in Bloomington, MN with 20 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. Jill Suzanne Melicher Larson, MD NPI is 1285788950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

9801 DUPONT AVE S
200
BLOOMINGTON, MN
ZIP 55431-100
Phone: (952) 888-5800

The NPI 1285788950 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)

The enumeration date for this NPI number is 1/22/2007 and was last updated on 10/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology105147MINNESOTANo
2207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive Surgery53626MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.