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RAYMOND L. LARSEN MD NPI 1043601065


NPI Information

NPI: 1043601065
Provider Name: RAYMOND L. LARSEN, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
916 5TH AVE NE
JAMESTOWN, ND
ZIP 58401
Phone: (701) 252-9020
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RAYMOND L. LARSEN, MD is an ophthalmology in Jamestown, ND. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. RAYMOND L. LARSEN, MD NPI is 1043601065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

916 5TH AVE NE
JAMESTOWN, ND
ZIP 58401-437
Phone: (701) 252-9020
Fax: (701) 252-2209

The provider's authorized official is Micheal Grounds .
The authorized official title is Administrator and has the following contact phone number (701) 252-9020.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 2/12/2015.


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
1207W00000XOphthalmologyYes

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
110092MEDICAIDNORTH DAKOTA

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: 5/5/2024

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