Individual provider Active NPI

Tori Telecky, OD

  • Optometrist
  • Aitkin, MN
National Provider Identifier
1396674610
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4059 Issued in MN
Practice address
312 Minnesota Ave N Ste 1
Aitkin, MN 56431-1414
Phone
(218) 927-3213
NPI assigned
May 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4059 MN Primary

Addresses

Primary practice location

312 Minnesota Ave N Ste 1
Aitkin, MN 56431-1414

Mailing address

1180 Arch St SE
Hutchinson, MN 55350-7019
Phone (320) 583-0013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4059MNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Centers of Aitkin & McGregor Optometrists, PA Optometrist Past Accepting new patients
Eyecare Centers of Aitkin & McGregor Optometrists, PA Optometrist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1396674610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 ARCH ST SE",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553507019",
            "telephone_number": "320-583-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MINNESOTA AVE N STE 1",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311414",
            "telephone_number": "218-927-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELECKY",
        "first_name": "TORI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aitkin, MN

Sources for this page

Verify at the official NPI Registry.