Kathryn Rose Olson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3402 Issued in MN

Practice address

340 Fox St
Perham, MN 56573-1733

Phone

(218) 346-3310

Fax

(218) 346-9064

NPI assigned

Jul 15, 2014

Last updated

Aug 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathryn Rose Van Den Einde Former name

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

University of Missouri St Louis - School of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Eyecare Network, Inc.Group PAC ID 6608854526, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minnesota Eyecare Network, Inc

  dba Azure Vision Care

  • Optometrist
  • Perham, MN
  • NPI 1407960651
  Medicare reassignment Care Compare group NPD
• Minnesota Eyecare Network, Inc

  dba Azure Vision Care

  • Optometrist
  • Pelican Rapids, MN
  • NPI 1457465296
  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1336556091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FOX ST",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731733",
            "telephone_number": "218-346-3310",
            "fax_number": "218-346-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FOX ST",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731733",
            "telephone_number": "218-346-3310",
            "fax_number": "218-346-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "720",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "VAN DEN EINDE",
            "middle_name": "ROSE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marlee Irene Novak, MD
• Corey L Nyhus, MD
• Laura Ann Nyhus, SLP
• Kathryn E Obregon, MD
• Aleina Oftedahl, RBT
• Kayla Ostlund, RBT
• Otter Tail Wadena Community Action Council
• Sarah Abosede Oyesile
• Bridgit Pankonin, LPC
• Vincent Ward Pankonin, D,C,

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.