P Praxis·MD
● Active Type 1 · Individual

DR. Scott Alan Larson, MD

Ophthalmology·Boise, ID· NPI 1992757991 · Enumerated 2006 · 20 years on NPI
Larson is 1 of 36 ophthalmology providers in Boise and 1 of 122 in Idaho.
NPI age
20 years
Enumerated 2006-05-17
Primary specialty
Ophthalmology
Plus 2 subspecialties
Licensed in
ID, IA, UT
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 122 active ophthalmology providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
3 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
305 E Jefferson St
Boise, ID 837126231
📞 2083817370fax 2083816911
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
200 Hawkins Dr
Iowa City, IA 522421009
📞 3193560382fax 3193849831

Specialties

  • Ophthalmology Primary
    An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
    ID license #8961062IA license #34581UT license #52876571205 taxonomy 207W00000X

Identifiers

TypeValueNotes
05 (UT) 120085200
01 (UT) 12463 U HEALTH PLANS
01 (UT) TPRA07668 MOLINA TIN 876151902
05 (UT) 100501869
05 (UT) 1119924
05 (UT) 806733700
05 (UT) D8294
01 (UT) 214773 ALTIUS 876151902
01 (UT) 52876571200001 BCBS TIN 876151902
01 (UT) 73587 PEHP TIN 876151902
01 (UT) 756072 DMBA TIN 876151902
05 (UT) 0079679
01 (UT) 107018826102 IHC TIN 876151902
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 64 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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