Individual provider Active NPI

Elizabeth Gilthvedt, O.D.

  • Optometrist
  • Owatonna, MN
National Provider Identifier
1417940644
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2035 Issued in MN
Practice address
118 N Oak Ave
Owatonna, MN 55060-2311
Phone
(507) 451-3072
Fax
(507) 451-4291
NPI assigned
Aug 23, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 2035 MN Primary

Addresses

Primary practice location

118 N Oak Ave
Owatonna, MN 55060-2311

Mailing address

118 N Oak Ave
Owatonna, MN 55060-2311
Phone (507) 451-3072

Other identifiers 5

IdentifierTypeStateIssuer
HP20985OtherHEALTH PARTNERS
2200937OtherMEDICA
1011308OtherPREFERRED ONE
122239OtherMNU-CARE
59829GIOtherBLUECROSS BLUESHIELD

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2035MNMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kasson Eye Care PA Optometrist Past Accepting new patients
Lifetime Eye Care of Rochester Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417940644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N OAK AVE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602311",
            "telephone_number": "507-451-3072",
            "fax_number": "507-451-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N OAK AVE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602311",
            "telephone_number": "507-451-3072",
            "fax_number": "507-451-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILTHVEDT",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP20985",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2200937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1011308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE",
            "identifier": "122239",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "59829GI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.