Fergus Falls Vision Care PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

6140580 Issued in MN

Legal business name

FERGUS FALLS VISION CARE PA

Practice address

810 N Baird Ave
Fergus Falls, MN 56537-1617

Phone

(218) 736-5609

Fax

(218) 736-5600

NPI assigned

Oct 25, 2006

Last updated

Apr 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise M Hanson, ODNPI 1730264904

Title

Co Owner

Phone

(218) 736-5609

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Denise M Hanson, OD

  • Optometrist
  • Fergus Falls, MN
  • NPI 1730264904
  Medicare reassignment Care Compare group NPD Authorized official
• Randall James Kempfer, O.D.

  • Optometrist
  • Fergus Falls, MN
  • NPI 1487660403
  Medicare reassignment Care Compare group NPD
• Tara Amber Kempfer, O.D.

  • Optometrist
  • Fergus Falls, MN
  • NPI 1750398228
  Medicare reassignment Care Compare group NPD
• David Joseph Hilber, O.D., F.A.A.O

  • Optometrist
  • Apg, MD
  • NPI 1487636882

  MN

  Medicare reassignment Care Compare group NPD
• Cody Scott Ward

  • Optometrist
  • Tulsa, OK
  • NPI 1184364093

  MN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1497839260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N BAIRD AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371617",
            "telephone_number": "218-736-5609",
            "fax_number": "218-736-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N BAIRD AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371617",
            "telephone_number": "218-736-5609",
            "fax_number": "218-736-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUS FALLS VISION CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "218-736-5609",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "6140580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60577",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "281T9FE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "94272",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090944100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "282T2SM",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fergus Falls Family Counseling
• Fergus Falls Medical Group, P.a.
• Fergus Falls Medical Group, P.a.
• Fergus Falls Optometric Center, LTD
• Fergus Falls Regional Treatment Center
• Debra Rose Ferkingstad, RN
• Field Chiropractic LLC (Fergus Falls Chiropractic)
• Debra Lynn Field, RN
• Gail Lois Fillmore, RN
• Ashley Lynn Fischer, FNP-BC

• Optometrist in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.