Vonnie Kay Nelson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2447 Issued in MN

Practice address

320 Sunrise Dr
Saint Peter, MN 56082-1352

Phone

(507) 931-6436

Fax

(507) 934-9625

NPI assigned

Dec 1, 2006

Last updated

Feb 29, 2008By 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 1

Addresses

Other identifiers 9

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

Illinois College of Optometry at Chicago, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Peter Eyecare CenterGroup PAC ID 2466487871, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• St. Peter Eyecare Center

  • Optometrist
  • Saint Peter, MN
  • NPI 1134274475
  Medicare reassignment Care Compare group NPD
• St Peter Eyecare Center, Inc

  • Optometrist
  • Le Center, MN
  • NPI 1972657658
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1386712867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUNRISE DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821352",
            "telephone_number": "507-931-6436",
            "fax_number": "507-934-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUNRISE DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821352",
            "telephone_number": "507-931-6436",
            "fax_number": "507-934-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "VONNIE",
        "middle_name": "KAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1027073",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA EYEWEAR",
            "identifier": "21 16066",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "126T3NE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA MEDICAID",
            "identifier": "0716373",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "141695",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0322460001",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP21215",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2202077",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEPLUS EYEWEAR",
            "identifier": "44977TH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Rae Cornish Nelson, L.AC., MAOM
• Kelly Marie Nelson, PSY. D.
• Kirk Nelson
• Nancy L Nelson, MD
• Seth R Nelson, D.C.
• Julie Renee Nordquist, DNP, CNP, APRN
• Ashley Rose Nuetzman, RD
• William Patrick O'Brien, D.D.S.
• Oak Terrace Senior Housing of St. Peter
• Aaron Oie

• Optometrist in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.