Darwin Dalen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2529 Issued in MN

Practice address

201 NW 4TH St
Grand Rapids, MN 55744-2753

Phone

(218) 326-9619

Fax

(218) 326-9619

NPI assigned

Jul 5, 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 1

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

Ferris State College - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Eye Q Optometric Clinic, Limited

  • Eyewear Supplier
  • Grand Rapids, MN
  • NPI 1245428135

  Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1417954553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442753",
            "telephone_number": "218-326-9619",
            "fax_number": "218-326-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442753",
            "telephone_number": "218-326-9619",
            "fax_number": "218-326-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEN",
        "first_name": "DARWIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5C957DA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ryann Curtiss
• Patrice Marie Curtiss
• Custom Medical Equipment LLC
• Heidi Dahlberg, OD
• Geoffrey Daigle
• Noel Elizabeth Danielson, DNP
• Darla & Rob Rima
• Davis Chiropractic Health & Wellness, P.a
• Jim S. Davis, CRNA
• Nathan Jim Davis, CRNA

• Optometrist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.