Individual provider Active NPI

John A Rahn, O.D.

  • Optometrist
  • Owatonna, MN
National Provider Identifier
1457456618
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2786 Issued in MN
Practice address
1130 W Frontage Rd
Owatonna, MN 55060-5662
Phone
(507) 446-8677
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2786 MN Primary

Addresses

Primary practice location

1130 W Frontage Rd
Owatonna, MN 55060-5662

Mailing address

716 Obrien Pkwy
Belle Plaine, MN 56011-8100
Phone (952) 873-3458

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
I20040121000516 MN Practitioner - Optometry 7517869696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1130 W Frontage Rd
Owatonna, MN 55060-5662
Phone (507) 446-8677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2786MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Rahn Optometry Inc Optometrist CurrentSince Oct 1, 2007 Accepting new patients
Ophthalmology PA PastSince Oct 16, 2022 Accepting new patients

Locations

150 Western Ave NW
Faribault, MN 55021
Phone (507) 332-0084

1130 W Frontage Rd
Owatonna, MN 55060
Phone (507) 445-0049

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457456618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 OBRIEN PKWY",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560118100",
            "telephone_number": "952-873-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W FRONTAGE RD",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550605662",
            "telephone_number": "507-446-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHN",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

Verify at the official NPI Registry.