Thomas N Lorentzsen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1532 Issued in MN

Practice address

420 Center Ave
Suite 41
Moorhead, MN 56560-1957

Phone

(218) 233-1624

Fax

(218) 233-2058

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Stanton L Andrist & Casey C Bartz

  • Optometrist
  • Moorhead, MN
  • NPI 1164794780
  NPD (past)
• Thomas N Lorentzsen & Stanton L Andrist PTR

  • Optometrist
  • Moorhead, MN
  • NPI 1336235449
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1083608228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CENTER AVE",
            "address_2": "SUITE 41",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601957",
            "telephone_number": "218-233-1624",
            "fax_number": "218-233-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CENTER AVE",
            "address_2": "SUITE 41",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601957",
            "telephone_number": "218-233-1624",
            "fax_number": "218-233-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENTZSEN",
        "first_name": "THOMAS",
        "middle_name": "N",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60297",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01050061",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "986523300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Long
• Tory Long
• Kaci Longtin
• Dacey Lopez
• Jose Lopez
• Lost & Found Recovery Center
• David Lotzer, D.C.
• Jeffrey Lotzer, D.C.
• Michele Louise Lovehaug, LICSW
• Rachelle Lucien

• Optometrist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.