ALAYNA LARSEN (OD) – Vision Therapy Optometrist, NPI 1780163691

ALAYNA LARSEN (OD) is a healthcare provider. based in Roswell, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT003208 (GA). The NPI Number for ALAYNA LARSEN (OD) is 1780163691

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
ALAYNA LARSEN (OD)
NPI
1780163691
Phone
(954) 262-4235
Address
11735 POINTE PL
Enumeration Date
10 August 2018
Last Update Date
12 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064199240
Graduation Year
2018 (8 years ago)
PAC ID
9931445038
Group Practice PAC ID
7214348259
Professional Enrollment ID
I20200130001454
Address ID
GA300418484CU1211XRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

959 OPTOMETRY in GA

Provider Addresses for ALAYNA LARSEN (OD)

  • 11735 POINTE PL

    ROSWELL, GA 300764636

    Phone: (954) 262-4235

    Fax: (954) 262-3904

    Type: Location

  • 3200, South University Drive, Davie, Broward County, Florida, 33328, United States

    TERRY BUILDING 1402

    DAVIE, FL 33328

    Phone: (954) 262-4235

    Fax: (954) 262-3904

    Type: Location

  • 155, Hopewell Grove Drive, Milton, Fulton County, Georgia, 30004, United States

    MILTON, GA 300046989

    Phone: (561) 356-5619

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200130001454IOptometryGATBD

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
92014Established patient complete exam of visual system2424$0
92004New patient complete exam of visual system1919$0
View full utilization report →

Insurance plans in this area (ZIP 30076)

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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: 7214348259View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

How is ALAYNA LARSEN (OD) identified in CMS data?
CMS-hosted NPPES data lists ALAYNA LARSEN (OD) with NPI 1780163691.
Is ALAYNA LARSEN (OD) still practicing?
ALAYNA LARSEN (OD) is currently listed as active in the public NPI registry.
What is ALAYNA LARSEN (OD)'s specialty?
The listing groups ALAYNA LARSEN (OD) with Vision Therapy Optometrist. Clinical services aligned with this taxonomy classification.
Where is ALAYNA LARSEN (OD) based?
ALAYNA LARSEN (OD) is tied to Roswell, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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