Active NPI
Kassidy Winther, OD
- Optometrist
- Ortonville, MN
National Provider Identifier
1023852027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3948
- Practice address
- 28 2ND St NW
Ortonville, MN 56278-1407 - Phone
- (320) 839-3413
- NPI assigned
- Jun 24, 2024
- Last updated
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3948 | MN | Primary |
Addresses
Primary practice location
28 2ND St NW
Ortonville, MN 56278-1407
Mailing address
217 Washington St S
Beardsley, MN 56211-3087
Phone (320) 815-0241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
219 14TH St S
Benson, MN 56215-1775
Phone (320) 842-4131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite Falls Eyecare Inc. | Optometrist | Current | Accepting new patients |
| Granite Falls Eyecare, Inc | Optometrist | Current | Accepting new patients |
| Granite Falls Eyecare Inc. | Optometrist | Current | Accepting new patients |
Locations
219 14th St S
Benson, MN 56215
Phone (320) 774-3666
28 2nd St NW
Ortonville, MN 56278
Phone (320) 839-3413
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1023852027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 WASHINGTON ST S",
"city": "BEARDSLEY",
"state": "MN",
"postal_code": "562113087",
"telephone_number": "320-815-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 2ND ST NW",
"city": "ORTONVILLE",
"state": "MN",
"postal_code": "562781407",
"telephone_number": "320-839-3413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTHER",
"first_name": "KASSIDY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ortonville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.