NPI 1396796710 · live from the CMS NPI Registry
Juli A Larson, MD
Ophthalmology in South Burlington, VT. National Provider Identifier 1396796710, active.
NPI record
| NPI | 1396796710 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1100 Hinesburg Rd, Suite 201, South Burlington, VT 05403 |
| Practice phone | 802-862-1808 |
| Enumerated | May 12, 2006 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 255565-1 (NY) |
| Ophthalmology | 207W00000X | 25565-1 (NY) |
| Ophthalmology primary | 207W00000X | 0420008600 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.