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

Last updated

Sep 27, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stanton L Andrist & Casey C Bartz

  dba Moorhead Vision Associates

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

  dba Moorhead Vision Associates

  • 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": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Long
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• 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.