CHRISTINE LEEANN LARSEN (NPI# 1629230206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629230206 |
| Entity Type | Individual |
| Full Name | CHRISTINE LEEANN LARSEN |
| Credential | M.D. |
| Practice Address |
9801 Dupont Ave S Bloomington MN 55431-3100 |
| Practice Telephone | 9528885800 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2013-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 56362 | MN | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 56846-20 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780121293 | Christine Marie Larsen | Registered Nurse | 74 Loomis St, Bedford, MA 01730-2248 | 2017-01-22 |
| 1003975822 | Christine J. Larsen | Nurse Practitioner | 3580 Pacific Ave, Tacoma, WA 98418-7915 | 2006-12-07 |
| 1336155233 | Christine E Larsen | Radiology | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2006-07-31 |
| Street Address |
9801 DUPONT AVE S |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134114259 | Elizabeth A Davis | Ophthalmology | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2005-09-14 |
| 1124478607 | Minnesota Dental Surgery Pllc | Clinic/Center | 9801 Dupont Ave S, Bloomington, MN 55431-3100 | 2016-06-15 |
| 1205249620 | Mark Buboltz | Optometrist | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2014-06-03 |
| 1407109275 | Kasie Jean Mix | Optometrist | 9801 Dupont Ave S, Ste 200, Bloomington, MN 55431-3100 | 2012-10-18 |
| 1295097277 | Katherine Ann Montealegre | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2012-06-14 |
| 1134416605 | Thomas L Elton | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2011-07-06 |
| 1093037772 | Laura Gundale | Physician Assistant | 9801 Dupont Ave S, 425, Bloomington, MN 55431-3100 | 2010-02-22 |
| 1467787226 | Mark Spencer Hansen | Ophthalmology | 9801 Dupont Ave S, 425, Bloomington, MN 55431-3100 | 2009-10-13 |
| 1548499676 | Tara Rae Barth | Optometrist | 9801 Dupont Ave S, Ste 200, Bloomington, MN 55431-3100 | 2009-07-10 |
| 1457508988 | Noumia Cloutier-gill | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2008-08-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205902772 | Harold L. Cohen, M.d., LLC | Ophthalmology | 2901 S Mcintire Dr, Bloomington, IN 47403-4209 | 2006-11-28 |
| 1932171105 | Paul M. Tani | Ophthalmology | 9801 Dupont Ave S Ste 425, Bloomington, MN 55431-3873 | 2006-02-02 |
| 1407835598 | Kenneth M Tewel Jr. | Ophthalmology | 2901 S Mcintyre Dr, Bloomington, IN 47403-4209 | 2006-01-17 |
| 1881676807 | Matthew Michael Fornefeld | Ophthalmology | 481 S Landmark Ave, Bloomington, IN 47403-5005 | 2005-11-16 |
| 1780670596 | Sumit Bhatia | Ophthalmology | 1008 N Main St, Bloomington, IL 61701-1784 | 2005-09-27 |
| 1659367423 | Yun-sen Ralph Chu | Ophthalmology | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2005-09-27 |
| 1134114259 | Elizabeth A Davis | Ophthalmology | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2005-09-14 |
| 1346245792 | Robert S Baller | Ophthalmology | 1228 N Towanda Avenue, Bloomington, IL 61701-3469 | 2005-06-14 |
| 1275995714 | Jefferson Berryman | Ophthalmology | 9801 Dupont Ave S Ste 200, Bloomington, MN 55431-3200 | 2016-03-23 |
| 1760746028 | Clara M Choo | Ophthalmology | 9801 Dupont Ave S Ste 200, Bloomington, MN 55431-3200 | 2012-07-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
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| 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.