Doctor profile · Federal record

Dr. SHAUN LARSEN, O.D.

Optometrist · MAGNA, UT

  • NPI 1073540167
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3665 S 8400 W, SUITE 100
MAGNA, UT 840442214
(801) 250-5745
fax (801) 250-5981

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
August 24, 2010
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Utah #3758049934

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1073540167. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
23
Distinct HCPCS
1
Medicare allowed
$3,257
HCPCS Description Services Patients Avg allowed
92004 New patient complete exam of visual system 23 23 $142

In context: peer comparison

Among 1 peers in this city , average services per provider: 23. This provider delivers 1.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$16
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
LKC Technologies, Inc. 1 $16.26

By nature of payment

Food and Beverage
$16