KATHRYN LARSSON O.D. NPI 1659864395

NPI Information

NPI: 1659864395
Provider Name: KATHRYN LARSSON, O.D.
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
1150 W ORANGEBURG AVE
MODESTO, CA
ZIP 95350
Phone: (209) 526-9883
Get Directions

KATHRYN LARSSON, O.D. is an ophthalmologic surgery clinic center in Modesto, CA. KATHRYN LARSSON, O.D. NPI is 1659864395. The provider is registered as an organization entity type.

The provider's business location address is:

1150 W ORANGEBURG AVE
MODESTO, CA
ZIP 95350-042
Phone: (209) 526-9883
Fax: (209) 526-8681

The provider's authorized official is Kathryn Larsson .
The authorized official title is Optometrist/ Owner and has the following contact phone number (209) 526-9883.

The enumeration date for this NPI number is 6/7/2018 and was last updated on 6/7/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	9225T	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6012490001	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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