DR. JASON MARK LARSEN (O.D.) – Optometrist, NPI 1407895964

DR. JASON MARK LARSEN (O.D.) is a healthcare provider. based in Yreka, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT12133TPA (CA). The NPI Number for DR. JASON MARK LARSEN (O.D.) is 1407895964

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON MARK LARSEN (O.D.)
NPI
1407895964
Phone
(530) 842-2760
Address
2524 WESTSIDE RD
Enumeration Date
6 June 2006
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9073357500
Graduation Year
1998 (28 years ago)
PAC ID
1052481702
Group Practice PAC ID
4082506225
Professional Enrollment ID
I20250820001250
Address ID
AK996118026KE508XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for DR. JASON MARK LARSEN (O.D.)

  • 2524, Westside Road, Yreka, Siskiyou County, California, 96067, United States

    YREKA, CA 960979129

    Phone: (530) 842-2760

    Type: Location

  • 206 W Rockwell Ave

    Soldotna, AK 996697439

    Phone: (907) 335-7500

    Type: Location

  • 508 UPLAND ST

    KENAI, AK 996118026

    Phone: (907) 335-7500

    Type: Location

  • 2524 Westside Rd

    Yreka, CA 960979129

    Phone: (530) 842-2760

    Type: Location

  • PO BOX 84101

    SEATTLE, WA 981245401

    Phone: (907) 335-7500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($125).

Total Amount

$145

General + Research + Ownership

Payments

2

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170316001359IOptometryWATBD
I20250820001250IOptometryAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes15798$0
92014Established patient complete exam of visual system117117$0
92004New patient complete exam of visual system5252$0
66984Removal of cataract with insertion of prosthetic lens3322$0
99214Established patient office or other outpatient visit, 30-39 minutes3126$0
View full utilization report →

Insurance plans in this area (ZIP 96097)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082506225View full group profile
NameSpecialtyState
Nurse PractitionerOK
Marriage And Family TherapistAK
Family PracticeAK
Internal MedicineTN
Family PracticeAK
Physical Therapist In Private PracticeAK
Clinical Social WorkerAK
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeAK
Nurse PractitionerSC

Reviews

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Frequently asked questions

How do I look up DR. JASON MARK LARSEN (O.D.) by NPI?
Use NPI 1407895964 when you need to reference DR. JASON MARK LARSEN (O.D.) in forms, claims, or directories.
Does this profile mean DR. JASON MARK LARSEN (O.D.) is currently active?
Yes — DR. JASON MARK LARSEN (O.D.) appears active in the national provider directory.
Does DR. JASON MARK LARSEN (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for DR. JASON MARK LARSEN (O.D.). Clinical services aligned with this taxonomy classification.
Where is DR. JASON MARK LARSEN (O.D.)'s primary listing?
We display Yreka, California because that is what the record indicates for DR. JASON MARK LARSEN (O.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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