Active NPI
Susan Tesch, O.D.
- Vision Therapy Optometrist
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 2148
- Practice address
- 1420 Bemidji Ave N
Bemidji, MN 56601-3814 - Phone
- (218) 759-1430
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 2148 | MN | Primary |
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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 |
| Mille Lacs Family Eye Care | Past | Accepting new patients | |
| Bradley W Neujahr OD PA | 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
Organizations & group practices 3
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.
-
- Optician
- Wahkon, MN
- NPI 1255652137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164525044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 BEMIDJI AVE N",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566013814",
"telephone_number": "218-759-1430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 BEMIDJI AVE N",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566013814",
"telephone_number": "218-759-1430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESCH",
"first_name": "SUSAN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "MN",
"license": "2148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
- Miriam Elaine Tell, NURSE PRACTITIONER
- Kyle V Templin, D.P.M.
- Rayni Leigh Templin, DDS
- Pamela Renee Tennyson, PHARM D
- Terrance Johnson Orthopedic Surgery PA
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society Home Care Bemidji)
- The Recovery Space LLC
- Thomas Miller Orthopedic Surgery PA
- Karin Helena Thomas, M.D.
- Nicole Thompson, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.