JEFFREY STEPHEN LARSON OD
NPI 1497722904
Optometrist in Saint Louis Park, MN

Active since March 02, 2006
5100 GAMBLE DR SUITE 100, MAIL STOP 31200A, SAINT LOUIS PARK, MN 55416(952) 593-8777(952) 595-6408 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Stephen Larson Od NPPES

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

JEFFREY STEPHEN LARSON OD (NPI 1497722904) is an individual optometrist in Saint Louis Park, Minnesota, licensed in Minnesota (1999) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1497722904
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJEFFREY STEPHEN LARSONCredential: OD
Location Address5100 GAMBLE DR SUITE 100, MAIL STOP 31200ASaint Louis Park, MN 55416-1582
Mailing Address8100 34th Ave S, 21110qBloomington, MN 55425-1672 · (952) 883-7961 · Fax (952) 883-5395
Fax(952) 595-6408
Sole ProprietorNo
Enumeration DateMarch 2, 2006
Last NPPES UpdateOctober 5, 2011
NPI 1497722904 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 · 1999
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.
5100 GAMBLE DR SUITE 100, Saint Louis Park, MN 55416

Other Names 1

Other Name (5)Jeff Larson

Other Identifiers 3

Medicare ID-Type Unspecified410001034MN
Medicaid057523200MN
Medicare UPINT92802

Other Providers at the Same Location NPPES 4

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
5100 GAMBLE DR SUITE 100, MAIL STOP31200A, HEALTH PARTNERS WEST CLINIC
ST LOUIS PARK, MN 55416
Family Medicine
5100 GAMBLE DR SUITE 100, MAIL STOP 31200A HELATHPARTNERS WEST CLINIC
SAINT LOUIS PARK, MN 55416
Nurse Practitioner
5100 GAMBLE DR SUITE 100, MAIL STOP 31200A HEALTH PARTNERS WEST CLINIC
ST. LOUIS PARK, MN 55416
Social Worker (Clinical)
5100 GAMBLE DR SUITE 100, MAIL STOP 31200A
SAINT LOUIS PARK, MN 55416

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 Jeffrey Larson's NPI number?

The NPI number for Jeffrey Larson is 1497722904. It was assigned to this individual provider in the NPPES registry on March 2, 2006. The provider is also known as Jeff Larson.

Where is Jeffrey Larson located?

Jeffrey Larson practices at 5100 Gamble Dr Suite 100 Mail Stop 31200A, Saint Louis Park, MN 55416. The listed phone number is (952) 593-8777.

What is Jeffrey Larson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Larson was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.