Susan Tesch, O.D.
Individual provider Active NPI Vision Therapy Optometrist · Bemidji, MN
NPI 1164525044 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164525044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vision Therapy Optometrist 152WV0400X
- License
- 2148 (MN)
- Practice address
- 1420 Bemidji Ave N
Bemidji, MN 56601-3814 - Phone
- (218) 759-1430
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kueber Eye Care PLLC
Practice addresses (Care Compare)
110 Henrietta Ave N
Park Rapids, MN 56470-1764
Phone (218) 732-8535
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050418000551 | MN | Practitioner - Optometry | 5597703918 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2148 | MN | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kueber Eye Care PLLC | Vision Therapy | Current |
Accepting new patients |
| Bradley W Neujahr OD PA | Past | Accepting new patients | |
| Mille Lacs Family Eye Care | Past | Accepting new patients |
Locations
1011 1st St E
Park Rapids, MN 56470
Phone (218) 252-3333
1011 1st St E
Ste 1
Park Rapids, MN 56470
Phone (218) 732-8535
110 Henrietta Ave N
Park Rapids, MN 56470
Phone (218) 732-8535
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 2148 | MN | Yes |
Addresses
Primary practice location
1420 Bemidji Ave N
Bemidji, MN 56601-3814
Mailing address
1420 Bemidji Ave N
Bemidji, MN 56601-3814
Phone (218) 759-1430
Other providers in Bemidji, MN
- Miriam Elaine Tell
- Kyle V Templin
- Rayni Leigh Templin
- Pamela Renee Tennyson
- Terrance Johnson Orthopedic Surgery PA
- The Evangelical Lutheran Good Samaritan Society
- The Recovery Space LLC
- Thomas Miller Orthopedic Surgery PA
- Karin Helena Thomas
- Nicole Thompson
All providers in Bemidji, MN · Vision Therapy Optometrist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.