Michael D Ackermann, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2672 Issued in MN

Practice address

117 W Center St
Lake City, MN 55041

Phone

(651) 345-3039

Fax

(651) 345-3506

NPI assigned

Jul 2, 2006

Last updated

Feb 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ackermann Total Eye Care Inc

  • Optometrist
  • Lake City, MN
  • NPI 1760511398
  Medicare reassignment NPD Authorized official
• Struss Optical, Inc.

  • Optometrist
  • Red Wing, MN
  • NPI 1821125535
  NPD (past)
• Aeg Wisconsin Professional LTD

  dba Christenson Vision Care

  • Optometrist
  • Hudson, WI
  • NPI 1407801087
  NPD (past)
• Kivlin Eye Clinic SC

  • Optometrist
  • Menomonie, WI
  • NPI 1336216472
  NPD (past)
• River Falls Eye Surgery and Laser Center Inc.

  dba Eye Surgery and Laser Center

  • Specialist
  • River Falls, WI
  • NPI 1437253077
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1063441830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W CENTER ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "55041",
            "telephone_number": "651-345-3039",
            "fax_number": "651-345-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W CENTER ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "55041",
            "telephone_number": "651-345-3039",
            "fax_number": "651-345-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMANN",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "455515500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80G78AC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ackermann Total Eye Care Inc
• Megan M Ahrens
• Rebecca Alpers
• Deborah Jane Anderson, ANP,C
• Trent D Anderson, D.O.
• Chelsey Anfinson

• Optometrist in Lake City, MN
• Providers in Lake City, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.

Verify at the official NPI Registry.