Mitchell Dean Harstad, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1982 Issued in MN

Practice address

2055 15TH St N
Saint Cloud, MN 56303-1747

Phone

(320) 251-1432

Fax

(320) 251-7122

NPI assigned

Oct 6, 2005

Sex

Male

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 2

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, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Cloud Eye Clinic PAGroup PAC ID 8325022577, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.55 of 100Reported as group

Quality

91.59

Improvement activities

40

Cost

76.37

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mitchell.harstad.p1@direct.stcloudeyeclinic.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• St Cloud Eye Clinic PA

  • Ophthalmology Physician
  • Saint Cloud, MN
  • NPI 1538157805
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396733143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 15TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031747",
            "telephone_number": "320-251-1432",
            "fax_number": "320-251-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 15TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031747",
            "telephone_number": "320-251-1432",
            "fax_number": "320-251-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSTAD",
        "first_name": "MITCHELL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "11967HA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2211983",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna K Harris, CNP
• Jennifer Margaret Harris, RD.LD
• Kelly Ann Harris, PHARMD
• Avery Harrison
• Denise Harstad, LPN
• Mariah Hart
• Melissa Marie Hart
• Patricia R Hart, CNP
• Richard Hart, M.D.
• Megan Alexandra Hartman, CMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.