Individual provider Active NPI

Kent Arthur Carlson, MD

  • Ophthalmology Physician
  • Alexandria, MN
National Provider Identifier
1518953306
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
31849 Issued in MN
Practice address
3401 S Broadway
Alexandria, MN 56308-3477
Phone
(320) 759-2020
Fax
(320) 759-2424
NPI assigned
Sep 27, 2005
Reactivated
Apr 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 31849 MN Primary

Addresses

Primary practice location

3401 S Broadway
Alexandria, MN 56308-3477

Mailing address

3401 S Broadway
Alexandria, MN 56308-3477
Phone (320) 759-2020

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000914 MN Practitioner - OphthalmologyPractitioner - Optometry 7012819584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Optometry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Eye Institute, IncGroup PAC ID 1951203413, 3 clinicians

Practice addresses (Care Compare)

3401 S Broadway
Alexandria, MN 56308-3477
Phone (320) 759-2020

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
58.69
Promoting interoperability
100
Improvement activities
40
Cost
74.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Eye Institute, Inc. Ophthalmology CurrentSince Jun 1, 1998 Accepting new patients

Locations

3401 S Broadway
Alexandria, MN 56308
Phone (320) 759-2020

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1518953306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 S BROADWAY",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083477",
            "telephone_number": "320-759-2020",
            "fax_number": "320-759-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S BROADWAY",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083477",
            "telephone_number": "320-759-2020",
            "fax_number": "320-759-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KENT",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "31849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.