Raeann Nordwall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3397 Issued in MN

Practice address

2522 Maple Grove Rd
Duluth, MN 55811-1864

Phone

(218) 249-0685

Fax

(218) 461-4885

NPI assigned

Nov 26, 2013

Last updated

Nov 19, 2025By the provider in NPPES

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Zenith Vision Development Center PLLC

  • Optometrist
  • Duluth, MN
  • NPI 1174389167
  NPD Authorized official

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1144650219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 MAPLE GROVE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111864",
            "telephone_number": "218-249-0685",
            "fax_number": "218-461-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 MAPLE GROVE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111864",
            "telephone_number": "218-249-0685",
            "fax_number": "218-461-4885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W Central Entrance",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558115447",
            "country_code": "US",
            "telephone_number": "218-464-1453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORDWALL",
        "first_name": "RAEANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kory James Nordick, PA
• Susan Z Nordin, M.D.
• Lisa Marie Nordquist, DVM
• Hannah Justine Nordskog, APRN, CNP
• Susan I Nordstrom, CRNA
• Mark Norgard, CNP
• Alanna Norick, CNM
• Kathleen Mae Norkol, APRN, CNP
• Nikki Norland, RD, LD
• Anne Nicole Normand

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.