DR. LINDA RUSNOCK LARSEN O.D.
NPI 1720196421
Optometrist in Southfield, MI

Active since August 25, 2006
22250 PROVIDENCE DR, SUITE 304, SOUTHFIELD, MI 48075(248) 569-4366(248) 569-4614 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Linda Rusnock Larsen O.d. NPPES

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

DR. LINDA RUSNOCK LARSEN O.D. (NPI 1720196421) is an individual optometrist in Southfield, Michigan, licensed in Michigan (4901002714) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720196421
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LINDA RUSNOCK LARSENCredential: O.D.
Location Address22250 PROVIDENCE DR, SUITE 304Southfield, MI 48075-4825
Mailing Address29562 Pond Ridge RdFarmington Hills, MI 48334-3031 · (248) 737-3923
Fax(248) 569-4614
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720196421 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 · 4901002714
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.

22250 PROVIDENCE DR, Southfield, MI 48075

Other Identifiers 2

Medicare UPINU54537MI
Medicare ID-Type UnspecifiedOM30440MI

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.

Obstetrics & Gynecology
22250 PROVIDENCE DR, 408
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, FL 5
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 5TH FLOOR.FL 5
SOUTHFIELD, MI 48075
Colon & Rectal Surgery
22250 PROVIDENCE DR, SUITE 208
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 500
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 5TH FLOOR
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 5TH FLOOR
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 500
SOUTHFIELD, MI 48075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720196421, enumerated as an "individual" on August 25, 2006.

The provider is located at 22250 PROVIDENCE DR SUITE 304 SOUTHFIELD, MI 48075 and the phone number is (248) 569-4366.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.