Cokato Eye Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

COKATO EYE CENTER, INC.

Practice address

115 Olsen Blvd
Cokato, MN 55321

Phone

(320) 286-5695

Fax

(320) 286-5742

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Shanda Larsen

Title

Project Lead

Phone

(320) 286-5695

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Claire Aho, OD

  • Optometrist
  • Annandale, MN
  • NPI 1518537786

  MN, Optometrist

  Medicare reassignment Care Compare group NPD
• Blake Kvidt, OD

  • Optometrist
  • Litchfield, MN
  • NPI 1740779388

  MN, Optometrist

  Medicare reassignment Care Compare group NPD
• Amy J Nyquist, O.D.

  • Optometrist
  • Litchfield, MN
  • NPI 1558312249

  MN, Optometrist

  Medicare reassignment Care Compare group NPD
• Katie Nicole Tancabel, O.D.

  • Optometrist
  • Annandale, MN
  • NPI 1376704940

  MN, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1245303825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "address_2": "115 OLSEN BLVD",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "55321",
            "telephone_number": "320-286-5695",
            "fax_number": "320-286-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 OLSEN BLVD",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "55321",
            "telephone_number": "320-286-5695",
            "fax_number": "320-286-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKATO EYE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "SHANDA",
        "authorized_official_title_or_position": "PROJECT LEAD",
        "authorized_official_telephone_number": "320-286-5695"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432724100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cokato Charitable Trust
• Cokato Charitable Trust
• Cokato Charitable Trust
• Cokato Chiropractic, P.a.
• Cokato Drug LLC
• Dimensions in Recovery II
• Paul G Eklof, OD
• Fiedler Dentistry, PA
• Robin Lyda Fiedler, D.D.S.
• William Russell Fiedler, DDS

• All providers in Cokato, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.