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DR. SHAUN DEAN LARSEN O.D.
NPI 1073540167
Optometrist in Magna, UT

Active since June 26, 2006PECOS Enrolled
3665 S 8400 W, SUITE 100, MAGNA, UT 84044(801) 250-5745(801) 250-5981 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shaun Dean Larsen O.d. NPPES

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

DR. SHAUN DEAN LARSEN O.D. (NPI 1073540167) is an individual optometrist in Magna, Utah, licensed in Utah (3758049934) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073540167
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHAUN DEAN LARSENCredential: O.D.
Location Address3665 S 8400 W, SUITE 100Magna, UT 84044-2214
Mailing Address3665 S 8400 W, Suite 100Magna, UT 84044-2214 · (801) 250-5745 · Fax (801) 250-5981
Phone(801) 250-5745
Fax(801) 250-5981
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateAugust 24, 2010
✔ NPI 1073540167 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 UT · 3758049934
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.
3665 S 8400 W, Magna, UT 84044
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Other Identifiers 4

Medicare ID-Type Unspecified000055995UT
Medicare NSC4905670001UT
Medicare UPINU75258UT
Medicare ID-Type Unspecified000057039UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shaun Dean Larsen O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 84044 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 20

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

JOSHUA BRANDEN ALAM PA-C
Physician Assistant
3665 S 8400 W
MAGNA, UT 84044
Salt Lake County (801) 250-9638
SCOTT EDWARD THOMPSON PA-C
Physician Assistant
3665 S 8400 W, SUITE 110
MAGNA, UT 84044
Salt Lake County (801) 250-9638
KORY WHITE O.D.
Optometrist
3665 S 8400 W, STE 100
MAGNA, UT 84044
Salt Lake County (801) 250-5745
LINDSAY ROYER APRN
Nurse Practitioner (Acute Care)
3665 S 8400 W
MAGNA, UT 84044
Salt Lake County (801) 250-9638
GREGORY S MARTINEZ D.P.T.
Physical Therapist
3665 S 8400 W, STE 210
MAGNA, UT 84044
Salt Lake County (801) 250-6733
CASSEY CURRY PA-C, MPAS
Physician Assistant
3665 S 8400 W
MAGNA, UT 84044
Salt Lake County (801) 250-9638
MOBILE EYECARE OF UTAH LLC
Optometrist
3665 S 8400 W, SUITE 100
MAGNA, UT 84044
Salt Lake County (801) 250-5745
GENESIS DENTAL OF MAGNA, LLC
Dentist (General Practice)
3665 S 8400 W, SUITE 250
MAGNA, UT 84044
Salt Lake County (801) 250-0450

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 Shaun Larsen's NPI number?

The NPI number for Shaun Larsen is 1073540167. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Shaun Larsen located?

Shaun Larsen practices at 3665 S 8400 W Suite 100, Magna, UT 84044. The listed phone number is (801) 250-5745.

What is Shaun Larsen's specialty?

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

Is Shaun Larsen enrolled in Medicare?

Yes. Shaun Larsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shaun Larsen was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.