Randall James Kempfer, O.D.
Individual provider Active NPI Optometrist · Fergus Falls, MN
NPI 1487660403 · NPPES record last updated Jan 14, 2015
Key facts
- NPI
- 1487660403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3062 (MN)
- Practice address
- 810 N Baird Ave
Fergus Falls, MN 56537-1617 - Phone
- (218) 763-5609
- Fax
- (218) 736-5600
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fergus Falls Vision Care PA
Practice addresses (Care Compare)
810 N Baird Ave
Fergus Falls, MN 56537-1617
Phone (218) 736-5609
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070125000213 | MN | Practitioner - Optometry | 9537160072 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 628 | SD | MD | Optometrist |
| 3062 | MN | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fergus Falls Vision Care PA | Optometrist | Current |
Accepting new patients |
| Audrey E. Fields, O.D. & Associates, P.C. | Optometrist | Past | Accepting new patients |
Locations
810 N Baird Ave
Fergus Falls, MN 56537
Phone (218) 736-5609
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 628 | SD | |
| Optometrist | 152W00000X | 3062 | MN | Yes |
| Optometrist | 152W00000X | 646 | ND |
Addresses
Primary practice location
810 N Baird Ave
Fergus Falls, MN 56537-1617
Mailing address
810 N Baird Ave
Fergus Falls, MN 56537-1617
Phone (218) 763-5609
Other providers in Fergus Falls, MN
- Nicole Marie Kashmark
- Kunal Kaushik
- Cindy J Keller
- Kelly I Schroeder DDS
- Tanya Kelsen
- Tara Amber Kempfer
- Colleen L Kennedy
- Kessel Group Home Inc
- Matthew Lee Kessler
- Ibrahim Ali Khan
All providers in Fergus Falls, MN · Optometrist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.