Kristina Aikens

Individual provider Active NPI Optometrist · Grand Forks, ND

NPI 1407416019 · NPPES record last updated Jun 17, 2019

Key facts

NPI
1407416019
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
764 (ND)
Practice address
1820 S 42ND St
Grand Forks, ND 58201
Phone
(701) 775-3151
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Ferris State College - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Dakota Eye Clinic LTD (5 clinicians)

Practice addresses (Care Compare)

1820 S 42ND St
Grand Forks, ND 58201-5712
Phone (701) 775-3151

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100 (group)

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190726002449 ND Practitioner - Optometry 4688900772 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
North Dakota Eye Clinic, LTD Current
since Jul 8, 2019
Accepting new patients
North Dakota Eye Clinic, LTD Optometrist Past
since Jul 8, 2019
Accepting new patients

Locations

1820 S 42nd St
Grand Forks, ND 58201
Phone (701) 775-3151

Interoperability endpoints

  • Direct secure messaging: kaikens@ndec.intellechartdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 764 ND Yes

Addresses

Primary practice location

1820 S 42ND St
Grand Forks, ND 58201

Mailing address

1820 S 42ND St
Grand Forks, ND 58201
Phone (701) 775-3151

Other providers in Grand Forks, ND

All providers in Grand Forks, ND · Optometrist in North Dakota

Sources for this page

Verify at the official NPI Registry.