Kathryn Larsson, O.D.

LBN: Kathryn Larsson, O.D.
Kathryn Larsson, O.D. is an health care organization with primary practice located at 1150 W Orangeburg Ave , Modesto CA 95350-4042. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty. Kathryn Larsson, O.D. can be contacted via phone (209) 526-9883, or through Larsson, Kathryn via phone (209) 526-9883.

Contact Information

Primary practice address
1150 W Orangeburg Ave Modesto CA 95350-4042
Phone: (209) 526-9883
Fax: (209) 526-8681
Website:
Map and Directions
Authorized official contact:
Name: Larsson, Kathryn Doctor of Optometry (OD)
Phone: (209) 526-9883

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X 9225T California

Profile Details

NPI number 1659864395
LBN Legal business name Kathryn Larsson, O.D.
DBA Doing business as
Authorized official Larsson, Kathryn Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2018
Last updated Jun 7th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659864395 NPPES
California MEDICAID 6012490001

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