DR. MICHAEL CRAIG LARSEN (OD) – Optometrist, NPI 1720152309
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
312 OPTOMETRY in UT
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Provider Addresses for DR. MICHAEL CRAIG LARSEN (OD)
CVS Pharmacy, 815, West Antelope Drive, Meadowbrook Hollow, Layton, Davis County, Utah, 84041, United States
LAYTON, UT 840411632
Phone: (801) 776-4426
Type: Location
3025W 75 N
LAYTON, UT 840415747
Phone: (801) 513-9951
Fax: (801) 779-9942
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $404.
Total Amount is formed as General ($404) + Research ($0) + Ownership ($0) = $404.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: CooperVision Inc. ($138).
Total Amount
$404
General + Research + Ownership
Payments
15
Total payment records
General Amount
$404
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $138 |
| Johnson & Johnson Vision Care, Inc. | $124 |
| Alcon Vision LLC | $108 |
| Bausch & Lomb Americas Inc. | $35 |
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: 2009-08-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050418000615 | I | Optometry | UT | TBD |
| I20090824000042 | I | Optometry | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 86 | 86 | $0 |
| 92012 | Established patient problem focused exam of visual system | 27 | 25 | $0 |
Insurance plans in this area (ZIP 84041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CA | |
| - | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | AZ |
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