MEDICARE: DR. LARRY D. ELLINGSON O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	201431154	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831159169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY D. ELLINGSON O.D.

Provider Business Mailing Address
First Line	:	4823 RAPID CREEK RD NE
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-7716
Country	:	US
Telephone Number	:	319-643-2304
Fax Number	:

Provider Business Practice Location Address
First Line	:	1451 CORAL RIDGE AVE
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2805
Country	:	US
Telephone Number	:	319-466-0644
Fax Number	:	319-466-0330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	01/06/2014

Similar Medicare Providers

1467651372 — ELLINGSON EYECARE, INC.
Practice Location Address:

1451 CORAL RIDGE AVE STE 518
CORALVILLE, IA
52241-2805

Practice Phone: 319-466-0644
Practice Fax: 319-466-0330

1063926970 — DR ANDREWS PLASTIC SURGERY
Practice Location Address:

1100 5TH ST STE 210
CORALVILLE, IA
52241-2934

Practice Phone: 319-450-7619
Practice Fax: 319-382-2475

1114550886 — ENCOMPASS HEALTH REHABILITATION HOSPITAL OF IOWA CITY, LLC
Practice Location Address:

2450 CORAL COURT
CORALVILLE, IA
52241

Practice Phone: 319-645-3300
Practice Fax: 319-645-3695

1396947107 — DR. UPNEET KAUR NIJJAR MD
Practice Location Address:

920 E 2ND AVE
CORALVILLE, IA
52241-2219

Practice Phone: 319-467-2000
Practice Fax: 319-467-2410

1144427311 — DR. KAHLIL JIHAD ANDREWS MD
Practice Location Address:

1100 5TH ST STE 210
CORALVILLE, IA
52241-2934

Practice Phone: 319-450-7619
Practice Fax: 319-382-2475

1477406551 — HUNTER HESSONG
Practice Location Address:

2350 OAKDALE BLVD
CORALVILLE, IA
52241-9702

Practice Phone: 319-351-5437
Practice Fax:

Directions to “ DR. LARRY D. ELLINGSON O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.