David Carl Solseng, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2705 Issued in MN

Practice address

402 E 3Rd St
Suite #1
Ada, MN 56510

Phone

(218) 784-4091

Fax

(218) 784-4092

NPI assigned

Oct 12, 2006

Last updated

Jun 29, 2022By 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 2

Addresses

Other identifiers 14

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Vision Clinic LTDGroup PAC ID 0244299287, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.08 of 100Reported as group

Quality

96.16

Improvement activities

40

Procedures performed for Medicare patients

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.

• Valley Vision Clinic LTD

  • Optometrist
  • Grand Forks, ND
  • NPI 1619168267

  MN

  Medicare reassignment Care Compare group
• McAllen Rutz Eye Clinic PA

  • Optometrist
  • Hallock, MN
  • NPI 1164533410
  NPD (past)
• Lance K Bergstrom MD, PC

  dba Bergstrom Eye and Laser Clinic

  • Specialist
  • Fargo, ND
  • NPI 1801819826

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1104915990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016346",
            "telephone_number": "701-775-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E 3RD ST",
            "address_2": "SUITE #1",
            "city": "ADA",
            "state": "MN",
            "postal_code": "56510",
            "telephone_number": "218-784-4091",
            "fax_number": "218-784-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLSENG",
        "first_name": "DAVID",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "570",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA-MA",
            "identifier": "2200530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICES INC",
            "identifier": "800570",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314004100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PRIMARY",
            "identifier": "2200530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND MA",
            "identifier": "60081",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS OF MN",
            "identifier": "09G48VA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE MINNESOTA",
            "identifier": "126057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE SELECT",
            "identifier": "2200530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2200530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD OF ND",
            "identifier": "234001",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HUMAN SERVICES",
            "identifier": "314004100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS MN",
            "identifier": "09G48VA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "639111042770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA-BLUE PLUS OF MN",
            "identifier": "09G48VA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ranz, DPT
• Sarah Rensink
• David A Resnick, D.D.S.
• Rosenau Inc (Ada Pharmacy)
• Angela Marie Skyberg, PA-C
• Hanna Annette Stevenson, MOT, OTR/L
• Erin Earlene Stoltman, PT
• Emily Marie Stueness, PA-C
• Kennedy Henry Thomas, DC
• Kendra Thompson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.