HAYDEN LARSON
NPI 1063998854
Optometrist in Wyoming, MI

Active since July 14, 2018PECOS EnrolledAccepts Medicare Assignment
5500 CLYDE PARK AVE SW, WYOMING, MI 49509(616) 532-3710 Get Directions Write a Review

NPPES record last updated: July 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hayden Larson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAYDEN LARSON (NPI 1063998854) is an individual optometrist in Wyoming, Michigan, licensed in Michigan (4901005146) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2018).

NPPES Registry Identity

NPI1063998854
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameHAYDEN LARSON
Location Address5500 CLYDE PARK AVE SWWyoming, MI 49509-9525
Mailing Address7767 Austinridge Dr SeCaledonia, MI 49316-8915 · (616) 826-2243
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2018
Enumeration DateJuly 14, 2018
NPI 1063998854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MI · 4901005146
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5500 CLYDE PARK AVE SW, Wyoming, MI 49509

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hayden Larson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507203882
PECOS Enrollment IDI20260409001679
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
5500 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacist
5500 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacist
5500 CLYDE PARK AVE SW
WYOMING, MI 49509
Physician Assistant
5500 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacist
5500 CLYDE PARK AVE SW
WYOMING, MI 49509
Nurse Practitioner
5500 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacist (Pharmacotherapy)
5500 CLYDE PARK AVE SW
WYOMING, MI 49509
Pharmacist
5500 CLYDE PARK AVE SW
WYOMING, MI 49509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hayden Larson's NPI number?

The NPI number for Hayden Larson is 1063998854. It was assigned to this individual provider in the NPPES registry on July 14, 2018.

Where is Hayden Larson located?

Hayden Larson practices at 5500 Clyde Park Ave SW, Wyoming, MI 49509. The listed phone number is (616) 532-3710.

What is Hayden Larson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Hayden Larson enrolled in Medicare?

Yes. Hayden Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hayden Larson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Hayden Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hayden Larson was last updated on July 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.