Individual provider Active NPI

Chelsea Leigh Laden, OD

  • Optometrist
  • Red Wing, MN
National Provider Identifier
1538820329
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3763 Issued in MN
Practice address
144 Tyler Rd N Ste B
Red Wing, MN 55066-1889
Phone
(651) 388-3838
Fax
(651) 388-6838
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3763 MN Primary

Addresses

Primary practice location

144 Tyler Rd N Ste B
Red Wing, MN 55066-1889

Mailing address

144 Tyler Rd N Ste B
Red Wing, MN 55066-1889
Phone (651) 388-3838

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
I20220218001424 MN Practitioner - Optometry 7517351455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essential Eyecare Minnesota IncGroup PAC ID 9537547351, 4 clinicians

Practice addresses (Care Compare)

144 Tyler Rd N
Suite B
Red Wing, MN 55066-1889
Phone (651) 388-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Eyecare Minnesota Inc Optometrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

144 Tyler Rd N
Ste B
Red Wing, MN 55066
Phone (651) 388-3838

Organizations & group practices 1

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1538820329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 TYLER RD N STE B",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661889",
            "telephone_number": "651-388-3838",
            "fax_number": "651-388-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 TYLER RD N STE B",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661889",
            "telephone_number": "651-388-3838",
            "fax_number": "651-388-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADEN",
        "first_name": "CHELSEA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-07-05",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Wing, MN

Sources for this page

Verify at the official NPI Registry.