Jacob Earl Grund

Individual provider Active NPI Optometrist · Park Rapids, MN

NPI 1336079524 · NPPES record last updated Jun 22, 2026

Key facts

NPI
1336079524
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
4063 (MN)
Practice address
110 7TH St W
Park Rapids, MN 56470-1872
Phone
(218) 699-3121
NPI assigned
May 20, 2026
Sex
Male
Sole proprietor
No

Organizations & group practices 21

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health of Northern Minnesota (349 clinicians)

Practice addresses (Care Compare)

110 7TH St W
Park Rapids, MN 56470-1872
Phone (218) 699-3121

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4063MNMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4063 MN Yes

Addresses

Primary practice location

110 7TH St W
Park Rapids, MN 56470-1872

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419

Other providers in Park Rapids, MN

All providers in Park Rapids, MN · Optometrist in Minnesota

Sources for this page

Verify at the official NPI Registry.