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DR. VIKTORIA LARSON DAVIS O.D.
NPI 1477558302
Optometrist in Madelia, MN

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
18 BENZEL AVE NW, MADELIA, MN 56062(507) 642-3853 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2024, Nov 15, 2022, Oct 5, 2021 (3 updates tracked since 2021).

About Dr. Viktoria Larson Davis O.d. NPPES

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

DR. VIKTORIA LARSON DAVIS O.D. (NPI 1477558302) is an individual optometrist in Madelia, Minnesota, licensed in Minnesota (2730) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Windom Area Health, and is a graduate of Pacific University - College Of Optometry (1999).

NPPES Registry Identity

NPI1477558302
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. VIKTORIA LARSON DAVISCredential: O.D.
Location Address18 BENZEL AVE NWMadelia, MN 56062-1422
Mailing AddressPo Box 190Madelia, MN 56062-0190 · (507) 642-3853 · Fax (507) 642-3854
Phone(507) 642-3853
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1999
Enumeration DateJune 16, 2005
Last NPPES UpdateJanuary 16, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1477558302 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 MN · 2730
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.
18 BENZEL AVE NW, Madelia, MN 56062
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Viktoria Janet Larson

Other Identifiers 2

Medicaid136600900MN
Other288R1DAMN · Blue Cross Blue Shield Of Mn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Viktoria Larson Davis O.d. 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 ID8224165808
PECOS Enrollment IDI20100430000246
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.

Medicare Billing Reassignment

Medicare enrollment records show Viktoria Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Madelia Optometric, Inc.
Same address
Optometrist
18 BENZEL AVE NW
Madelia, MN 56062
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1144494410 (507) 642-3853

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
128 services126 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
41 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services23 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
20 services20 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Windom Area Health

Critical Access Hospitals · Windom, MN
OwnershipGovernment - Local
CMS Certification Number241332
Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56062 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

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

MADELIA OPTOMETRIC, INC.
Optometrist
18 BENZEL AVE NW
MADELIA, MN 56062
Watonwan County (507) 642-3853

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 Viktoria Davis's NPI number?

The NPI number for Viktoria Davis is 1477558302. It was assigned to this individual provider in the NPPES registry on June 16, 2005. The provider is also known as Miss Viktoria Janet Larson.

Where is Viktoria Davis located?

Viktoria Davis practices at 18 Benzel Ave NW, Madelia, MN 56062. The listed phone number is (507) 642-3853.

What is Viktoria Davis's specialty?

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

Is Viktoria Davis enrolled in Medicare?

Yes. Viktoria Davis 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.

Which organization bills Medicare for Viktoria Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Viktoria Davis reassigns Medicare benefits to Madelia Optometric, Inc. (Madelia, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Viktoria Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Viktoria Davis affiliated with any hospitals?

According to CMS data, Viktoria Davis is affiliated with Windom Area Health.

When was this NPI record last updated?

The NPPES record for Viktoria Davis was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.