Ricky Francis Groetsch, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

MN 2082 Issued in MN

Practice address

203 E Main St Ste B
Melrose, MN 56352-1485

Phone

(320) 256-4000

Fax

(320) 256-4002

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Pacific University - College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rick.groetsch@directaddress.net

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.

• Optometry 2000 Vision Care Inc

  • Optometrist
  • Albany, MN
  • NPI 1326159476
  Medicare reassignment NPD Authorized official
• Optometry 2000 Vision Care, Inc

  • Optometrist
  • Melrose, MN
  • NPI 1497859813
  NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1366456014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E MAIN ST STE B",
            "city": "MELROSE",
            "state": "MN",
            "postal_code": "563521485",
            "telephone_number": "320-256-4000",
            "fax_number": "320-256-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E MAIN ST STE B",
            "city": "MELROSE",
            "state": "MN",
            "postal_code": "563521485",
            "telephone_number": "320-256-4000",
            "fax_number": "320-256-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROETSCH",
        "first_name": "RICKY",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MN 2082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "0F373GR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PROVIDER NUMBER",
            "identifier": "115186",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER NUMBER",
            "identifier": "2225597",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380225600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS PROVIDER",
            "identifier": "47576",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER NUMBER",
            "identifier": "MN2082",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE PROVIDER NU",
            "identifier": "1006663",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "410031767",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cura of Melrose LLC
• Elate Care Inc.
• Amanda Lynn Erickson, CNP
• Matthew P Ford, DMD
• Kristie Kay Giesler, PHARM.D.
• Anna Haho
• Heartland Security Services, LLC
• Ernest Allen Hedglin, DDS
• Patrick Joel Heller, M.D.
• Allen L Horn, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.