Ellen Larsen, in Reynoldsburg, OH - Medicare Optometry Provider

Ellen Larsen, is a medicare enrolled "Optometrist" provider in Reynoldsburg, Ohio. She went to Ohio State University - College Of Optometry and graduated in 2022 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Grace Vision, Llc and her current practice location is 2314 Taylor Park Dr, Reynoldsburg, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 863-0071.

Ellen Larsen is licensed to practice in Ohio (license number OPT.007068) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1992444772.

Contact Information

	Ellen Larsen,
	2314 Taylor Park Dr, Reynoldsburg, OH 43068-8052
	(614) 863-0071
	(614) 856-0534

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen Larsen
Gender	Female
Speciality	Optometry
Experience	4 Years
Location	2314 Taylor Park Dr, Reynoldsburg, Ohio
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellen Larsen attended and graduated from Ohio State University - College Of Optometry in 2022

NPI Data:

NPI Number: 1992444772
Provider Enumeration Date: 06/01/2022
Last Update Date: 04/06/2025

Medicare PECOS Information:

PECOS PAC ID: 0840670584
Enrollment ID: I20220712000839

Medical Identifiers

Medical identifiers for Ellen Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992444772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT.007068 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grace Vision, Llc	1658754783	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ellen Larsen allows following entities to bill medicare on her behalf.

Provider Name	Spectrum Eye Care, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821095381 PECOS PAC ID: 6103850581 Enrollment ID: O20050925000021

Provider Name	Grace Vision, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225461544 PECOS PAC ID: 1658754783 Enrollment ID: O20220822003459

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Larsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ellen Larsen, 2314 Taylor Park Dr, Reynoldsburg, OH 43068-8052 Ph: (614) 863-0071	Ellen Larsen, 2314 Taylor Park Dr, Reynoldsburg, OH 43068-8052 Ph: (614) 863-0071

Reviews and Comments

Optometrist in Reynoldsburg, OH

Dr. Jennifer L Crowley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8084 E Broad St, Reynoldsburg, OH 43068 Phone: 614-864-3937 Fax: 614-864-9008
Dr. Joseph Pasquinelli Jr., O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 7721 E Main St, Reynoldsburg, OH 43068 Phone: 614-861-0950
Dr. Timothy Daniel Donovan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2793 Taylor Road Ext, Reynoldsburg, OH 43068 Phone: 614-367-1025 Fax: 614-367-1028
Dr. Meredith Renea Kiess, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1725 Brice Rd, Reynoldsburg, OH 43068 Phone: 614-861-7771
E L Komraus Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7509 E Main St, Reynoldsburg, OH 43068 Phone: 614-866-6040 Fax: 614-866-7714
Cynthia J. Premeaux, O.d., Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6400 E Main St, Suite 101, Reynoldsburg, OH 43068 Phone: 614-759-9420 Fax: 614-759-9520
Reynoldsburg Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7509 East Main Street, Reynoldsburg, OH 43068 Phone: 614-866-6040 Fax: 614-866-7714

Ellen Larsen, - Medicare Optometrist in Reynoldsburg, OH