John Large
Optometrist · Ludington, MINPI 1710362488
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 10 manufacturers reported payments, led by Biotissue Holdings Inc. at 27.1% of the total. 2023 is the largest year on record at $105, 5.3 times the $20 reported in 2019. That places this record below the midpoint for optometrist clinicians in MI, where the typical reported total is $452.
Across 12 payments — averaging $21.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biotissue Holdings Inc.$71
- Novartis$46
- Johnson & Johnson Surgical Vision, Inc.$23
- Shire North American Group Inc$20
- Aerie Pharmaceuticals, Inc.$18
- Oyster Point Pharma, Inc.$18
- plus $65 from 4 others
What the payments were for
- Food & beverage$262100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Biotissue Holdings Inc. | 1 | $71 |
| Novartis | 3 | $46 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $23 |
| Shire North American Group Inc | 1 | $20 |
| Aerie Pharmaceuticals, Inc. | 1 | $18 |
| Oyster Point Pharma, Inc. | 1 | $18 |
| Dompe US, Inc. | 1 | $18 |
| Bausch & Lomb Americas Inc. | 1 | $17 |
| Regeneron Healthcare Solutions, Inc. | 1 | $16 |
| Alcon | 1 | $14 |
How this compares
$262 in reported general payments places this provider in the 35th percentile of 1,523 optometrist providers in Michigan.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| RestasisCyclosporine | 13 | $13,747 |
| Latanoprost | 124 | $2,583 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 58 | $2,134 |
| Timolol Maleate | 49 | $630 |
| Prednisolone Acetate | 18 | $555 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 11 | $500 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Ludington
- Jamie KuzniarBloomfield$473K
- Monica JohnsonbaughGrosse Pointe$393K
- Nicholas BrunsFlint$238K
- Jay CrankGrand Rapids$209K
- Jeffrey VaranelliWarren$204K
- Thomas RothAnn Arbor$98K
- Frances Poma NowinskiBloomfield Twp$91K
- Michael LipsonWalled Lake$77K
- Stephanie RamdassBig Rapids$59K
- Robert FarrellMount Clemens$55K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.