Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nathan Michael Larson, OD

Individual provider Optometrist · NPI 1073207445

Dr. Nathan Michael Larson, OD is an Optometry in Menasha, Wisconsin. Graduated from Indiana University - School of Optometry in 2023, 3 years ago. Practices with Community Eyecare Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Trained at
Indiana University - School of Optometry
Licensed in
WI
In the registry since
2023
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1255 Appleton Rd
Menasha, WI 54952-1501
Phone: (920) 722-6872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3916-35 (WI)

Record details

NPI number1073207445
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 7, 2023
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023
Mailing address1255 Appleton Rd, Menasha, WI 54952-1501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2023 (3 years in practice)
Group practice Community Eyecare Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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