DR. CALISANDRA MARIE LARSON OD
NPI 1164113262
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since May 18, 2023PECOS EnrolledAccepts Medicare Assignment
930 COMMONWEALTH AVE, BOSTON, MA 02215(617) 266-2030 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Calisandra Marie Larson Od NPPES

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

DR. CALISANDRA MARIE LARSON OD (NPI 1164113262) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2023).

NPPES Registry Identity

NPI1164113262
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. CALISANDRA MARIE LARSONCredential: OD
Location Address930 COMMONWEALTH AVEBoston, MA 02215-1274
Mailing Address421 Diamond Ridge BlvdRapid City, SD 57703-6968 · (605) 391-2930
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2023
Enumeration DateMay 18, 2023
NPPES CertifiedMay 18, 2023
NPI 1164113262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

930 COMMONWEALTH AVE, Boston, MA 02215

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

Dr. Calisandra Marie Larson Od 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 ID4880047158
PECOS Enrollment IDI20240202001473
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.

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.

Optometrist
930 COMMONWEALTH AVE, SUITE 2A
BOSTON, MA 02215
Optometrist (Pediatrics)
930 COMMONWEALTH AVE, SUITE 2A
BOSTON, MA 02215
Registered Nurse (Ambulatory Care)
930 COMMONWEALTH AVE
BOSTON, MA 02215
Occupational Therapist
930 COMMONWEALTH AVE
BOSTON, MA 02215
Optometrist
930 COMMONWEALTH AVE
BOSTON, MA 02215
Dentist (General Practice)
930 COMMONWEALTH AVE
BOSTON, MA 02215
Optometrist
930 COMMONWEALTH AVE
BOSTON, MA 02215
Optometrist
930 COMMONWEALTH AVE, SUITE 2A
BOSTON, MA 02215

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 Calisandra Larson's NPI number?

The NPI number for Calisandra Larson is 1164113262. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Calisandra Larson located?

Calisandra Larson practices at 930 Commonwealth Ave, Boston, MA 02215. The listed phone number is (617) 266-2030.

What is Calisandra Larson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Calisandra Larson enrolled in Medicare?

Yes. Calisandra 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 Calisandra Larson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Calisandra 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 Calisandra Larson was last updated on May 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.