Individual provider Active NPI

Alexandra Mae Literski, OD

  • Optometrist
  • Stillwater, MN
National Provider Identifier
1063908564
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3581 Issued in MN
Practice address
2950 Curve Crest Blvd W
Stillwater, MN 55082-5085
Phone
(651) 275-3000
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3581 MN Primary

Addresses

Primary practice location

2950 Curve Crest Blvd W
Stillwater, MN 55082-5085

Mailing address

N20634 Pine Creek Ridge Rd
Dodge, WI 54625-9723
Phone (507) 450-3028

Other identifiers 1

IdentifierTypeStateIssuer
3581OtherMNSTATE LICENSING NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20190613000040 WI Practitioner - Optometry 1951659408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Center of la CrosseGroup PAC ID 8224310420, 6 clinicians

Practice addresses (Care Compare)

3424 Mormon Coulee Rd
Suite a
La Crosse, WI 54601-6703
Phone (608) 788-4300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3581MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Center of la Crosse Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Family Vision Center of la Crosse Optometrist CurrentSince Aug 1, 2019 Accepting new patients

Locations

3424 Mormon Coulee Rd
Ste A
La Crosse, WI 54601
Phone (608) 788-4300

1825 N Superior Ave
Ste 3
Tomah, WI 54660
Phone (608) 372-4664

1825 N Superior Ave
Tomah, WI 54660
Phone (608) 372-4664

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1063908564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N20634 PINE CREEK RIDGE RD",
            "city": "DODGE",
            "state": "WI",
            "postal_code": "546259723",
            "telephone_number": "507-450-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825085",
            "telephone_number": "651-275-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITERSKI",
        "first_name": "ALEXANDRA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING NUMBER",
            "identifier": "3581",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.