KELLY KRISTINE LARSEN (O.D.) – Optometrist, NPI 1831134600

KELLY KRISTINE LARSEN (O.D.) is a healthcare provider. based in Bellingham, Washington. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. OD00003987 (WA). The NPI Number for KELLY KRISTINE LARSEN (O.D.) is 1831134600

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLY KRISTINE LARSEN (O.D.)
NPI
1831134600
Phone
(360) 733-1720
Address
PO BOX 5566
Enumeration Date
17 June 2006
Last Update Date
31 July 2015

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3607331720
Graduation Year
2005 (21 years ago)
PAC ID
9133128879
Group Practice PAC ID
2860380094
Professional Enrollment ID
I20070110000182
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY KRISTINE LARSEN (O.D.)

  • Bellingham Post Office, 12, Randlesdown Road, Bellingham, Southend, London Borough of Lewisham, Greater London, England, SE6 3BU, United Kingdom

    BELLINGHAM, WA 982275566

    Phone: (360) 733-1720

    Fax: (360) 733-0109

    Type: Mailing

  • Birchwood Avenue, Birchwood, Bellingham, Whatcom County, Washington, 98226-5519, United States

    BELLINGHAM, WA 982251714

    Phone: (360) 733-1720

    Fax: (360) 733-0109

    Type: Location

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: 2007-01-10

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
I20070110000182IOptometryWATBD

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 system242242$0
99213Established patient office or other outpatient visit, 20-29 minutes14074$0
99214Established patient office or other outpatient visit, 30-39 minutes11194$0
92250Photography of the retina8483$0
66984Removal of cataract with insertion of prosthetic lens4934$0
View full utilization report →

Insurance plans in this area (ZIP 98227)

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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: 2860380094View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA
-WA
-WA
O P T O M E T R YNV
O P T O M E T R YWA

Reviews

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Frequently asked questions

How is KELLY KRISTINE LARSEN (O.D.) identified in CMS data?
CMS-hosted NPPES data lists KELLY KRISTINE LARSEN (O.D.) with NPI 1831134600.
Is KELLY KRISTINE LARSEN (O.D.) listed as active for patients and plans?
The listing shows KELLY KRISTINE LARSEN (O.D.) as active in the NPI system.
What taxonomy line describes KELLY KRISTINE LARSEN (O.D.)?
For research purposes, treat KELLY KRISTINE LARSEN (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does KELLY KRISTINE LARSEN (O.D.) serve?
KELLY KRISTINE LARSEN (O.D.)'s listing highlights Bellingham, Washington; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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