David B Pelowski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2699 Issued in MN

Practice address

14453 Edgewood Dr
Baxter, MN 56425-8459

Phone

(218) 829-1789

Fax

(218) 829-1780

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in EyecareGroup PAC ID 4082017587, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Associates in Eyecare

  • Optometrist
  • Baxter, MN
  • NPI 1861066920
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205801032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BARCLAY AVE.",
            "address_2": "P O BOX 457",
            "city": "PINE RIVER",
            "state": "MN",
            "postal_code": "564740457",
            "telephone_number": "218-587-2020",
            "fax_number": "218-587-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14453 EDGEWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258459",
            "telephone_number": "218-829-1789",
            "fax_number": "218-829-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOWSKI",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197023200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyatt John Orth, DNP, CNP
• Sommer Ann Oslund, LICSW
• Jade Elizabeth Owen
• Kimberly Nan Palkert, DPT
• Kelcie Jean Parrish
• Jennifer Lee Perez Krueger, MSW, LGSW
• Avariel Perisian
• Rick Wayne Peters, LADC
• Brikken Ann Peterson
• Donna Sue Peterson, PSY.D, LP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.