Individual provider Active NPI

Aubree Thorseth, OD

  • Optometrist
  • Glencoe, MN
National Provider Identifier
1104481985
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3616 Issued in MN
Practice address
1201 Greeley Ave N # 3
Glencoe, MN 55336-2135
Phone
(320) 864-2020
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3616 MN Primary

Addresses

Primary practice location

1201 Greeley Ave N # 3
Glencoe, MN 55336-2135

Mailing address

1201 Greeley Ave N # 3
Glencoe, MN 55336-2135

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627000008 MN Practitioner - Optometry 1850625773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Eye Specialists, LLC 13 clinicians

Practice addresses (Care Compare)

1200 Chaska Creek Way
Suite 110
Chaska, MN 55318-2749
Phone (952) 466-3937

Merit-based Incentive Payment System (MIPS)

Final score
86.97 of 100Reported as group
Quality
84.94
Improvement activities
40
Cost
76.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Eye Care Inc Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Regional Eye Specialists LLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Regional Eye Specialists LLC CurrentSince Mar 1, 2024 Accepting new patients
Southwest Eye Care Optometrist Past Accepting new patients

Locations

1200 Chaska Creek Way
Ste 110
Chaska, MN 55318
Phone (320) 587-6308

1201 Greeley Ave N
Ste 3
Glencoe, MN 55336
Phone (320) 864-2020

1201 Greeley Ave N
#3
Glencoe, MN 55336
Phone (320) 864-2020

1201 Greeley Ave N
Glencoe, MN 55336
Phone (320) 864-2020

218 Main St S
Ste 105
Hutchinson, MN 55350
Phone (320) 587-2593

1455 Montreal St SE
Hutchinson, MN 55350
Phone (320) 587-6305

Organizations & group practices 4

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1104481985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GREELEY AVE N # 3",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GREELEY AVE N # 3",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362135",
            "telephone_number": "320-864-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSETH",
        "first_name": "AUBREE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glencoe, MN

Sources for this page

Verify at the official NPI Registry.