Active NPI
Jeanne Rice, O.D.
- Optometrist
- Cloquet, MN
National Provider Identifier
1205090321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2829
- Practice address
- 927 Trettel Lane
Fond Du Lac Human Services Division
Cloquet, MN 55720 - Phone
- (218) 879-1227
- Fax
- (218) 878-3755
- NPI assigned
- Jul 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2829 | MN | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 2829 | MN |
Addresses
Primary practice location
927 Trettel Lane
Fond Du Lac Human Services Division
Cloquet, MN 55720
Mailing address
927 Trettel Lane
Fond Du Lac Human Services Division
Cloquet, MN 55720
Phone (218) 879-1227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2819571-00 | Medicaid | MN |
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, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
927 Trettel LN
Cloquet, MN 55720-1345
Phone (218) 879-1227
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.26 of 100
- Quality
- 80.41
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 53.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2829 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fond Du Lac Reservation Business Committee | Current | Accepting new patients | |
| Fond Du Lac Reservation Business Committee | Current | Accepting new patients |
Locations
927 Trettel Ln
Cloquet, MN 55720
Phone (218) 879-1227
Interoperability endpoints
- jeanne.rice.p1@direct.fonddulachsd.nextgenshare.com
Organizations & group practices 2
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.
-
dba Fond du Lac Human Services Division
- Clinic/Center
- Cloquet, MN
- NPI 1326053166
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cloquet, MN
- NPI 1053772087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1205090321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 TRETTEL LANE",
"address_2": "FOND DU LAC HUMAN SERVICES DIVISION",
"city": "CLOQUET",
"state": "MN",
"postal_code": "55720",
"telephone_number": "218-879-1227",
"fax_number": "218-878-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 TRETTEL LANE",
"address_2": "FOND DU LAC HUMAN SERVICES DIVISION",
"city": "CLOQUET",
"state": "MN",
"postal_code": "55720",
"telephone_number": "218-879-1227",
"fax_number": "218-878-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "JEANNE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2829",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MN",
"license": "2829",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2819571-00",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.