Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003974411 Deactivated / Inactive NPI Male Practitioner

Dr. Larry A Hagen , OD

Optometrist • Tomahawk, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Hagen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2006
NPI Deactivation Date June 01, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Hagen, OD was a registered Optometrist practicing in Tomahawk, WI. Throughout an active medical career spanning 18 years, Dr. Hagen provided care at the practice location at 318 NORTH 6TH ST until profile deactivation on 2024-06-01.

Practice Location & Contact Primary Location

Practice Address

318 North 6th St

Tomahawk, WI 54487

Telephone 7154533636
Fax 7154533011
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Tomahawk, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Tomahawk, WI (1196 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI 1307

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1851739635

Doctor of Optometry

Dr. Robert Imm , DDS

Dentist - General Practice

NPI 1922174648

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 01, 2024

Record deactivated on June 01, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 318 NORTH 6TH ST, TOMAHAWK, WI 54487 (Tel: 7154533636)

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Updated Business Mailing Address July 08, 2007

Registered at 318 NORTH 6TH ST, TOMAHAWK, WI 54487 (Tel: 7154533636)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY HAGEN, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #1307 in WI)

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Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003974411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: July 08, 2007
Deactivation Date: June 01, 2024

Mailing Address

318 North 6th St

Tomahawk, WI 54487

Phone: 7154533636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.