Individual provider Active NPI

Hunter Riley Throndsen, OD

  • Optometrist
  • Sartell, MN
National Provider Identifier
1447073796
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3964 Issued in MN
Practice address
2180 Troop Dr
Sartell, MN 56377-4582
Phone
(320) 258-3915
NPI assigned
Nov 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3964 MN Primary

Addresses

Primary practice location

2180 Troop Dr
Sartell, MN 56377-4582

Mailing address

2180 Troop Dr
Sartell, MN 56377-4582
Phone (320) 258-3915

Other practice location 1

3274 Nottingham Rd S
Saint Cloud, MN 56301-6249
Phone (320) 258-3915

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241226002670 MN Practitioner - Optometry 0042747396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinecone Vision Center, PAGroup PAC ID 6800786906, 8 clinicians

Practice addresses (Care Compare)

2180 Troop Dr
Sartell, MN 56377-7504
Phone (320) 258-3915

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3964MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Pinecone Vision Center, PA Optometrist CurrentSince Nov 25, 2024 Accepting new patients
Pinecone Vision Center, PA Optometrist CurrentSince Nov 25, 2024 Accepting new patients

Locations

2180 Troop Dr
Sartell, MN 56377
Phone (320) 221-0028

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": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1447073796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774582",
            "telephone_number": "320-258-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774582",
            "telephone_number": "320-258-3915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3274 Nottingham Rd S",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563016249",
            "country_code": "US",
            "telephone_number": "320-258-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THRONDSEN",
        "first_name": "HUNTER",
        "middle_name": "RILEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.