Active NPI
Kayleen Dempsey
- Optometrist
- Sauk Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3523
- Practice address
- 1311 2ND St N Ste 105
Sauk Rapids, MN 56379-2582 - Phone
- (320) 774-3666
- Fax
- (320) 774-3660
- NPI assigned
- Jul 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002505 | VA | |
| Optometrist | 152W00000X | 3523 | MN | Primary |
Addresses
Primary practice location
1311 2ND St N Ste 105
Sauk Rapids, MN 56379-2582
Mailing address
4796 Patterson Mill Road
Bedford, VA 24523
Other practice location 1
2413 Wards Road
Lynchburg, VA 24502
Phone (434) 239-5323
Other practice location 2
4801 Veterans Dr
Saint Cloud, MN 56303-2015
Phone (320) 255-6480 ext. 5432
Other practice location 3
4142 W Division St
Saint Cloud, MN 56301-3706
Phone (320) 252-2500
Other practice location 4
219 14th St S
Benson, MN 56215-1775
Phone (320) 774-3666
Other practice location 5
20 9th St SE
Long Prairie, MN 56347-1404
Phone (320) 774-3666
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190612001160 | MN | Practitioner - Optometry | 4385922343 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dvorak Cataract and Eye Laser Clinic, PA
Practice addresses (Care Compare)
1311 2ND St N
Suite 105
Sauk Rapids, MN 56379-2582
Phone (320) 774-3666
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.82 of 100
- Quality
- 88.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 24.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002505 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dvorak Cataract and Eye Laser Clinic, PA | Single Specialty | Current | Accepting new patients |
| America'S Best Contacts and Eyeglasses, Inc. | Past | Accepting new patients |
Locations
219 14th St S
Benson, MN 56215
Phone (320) 774-3666
20 9th St SE
Long Prairie, MN 56347
Phone (320) 732-2131
1311 2nd St N
Ste 105
Sauk Rapids, MN 56379
Phone (320) 774-3666
1311 2nd St N
Sauk Rapids, MN 56379
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Sauk Rapids, MN
- NPI 1811431810
MN, Single Specialty
-
- Eyewear Supplier
- Saint Cloud, MN
- NPI 1740212331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1639622376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4796 PATTERSON MILL ROAD",
"city": "BEDFORD",
"state": "VA",
"postal_code": "24523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 2ND ST N STE 105",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "563792582",
"telephone_number": "320-774-3666",
"fax_number": "320-774-3660"
}
],
"practiceLocations": [
{
"address_1": "2413 Wards Road",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "24502",
"country_code": "US",
"telephone_number": "434-239-5323",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 Veterans Dr",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "563032015",
"country_code": "US",
"telephone_number": "320-255-6480 x5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4142 W Division St",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "563013706",
"country_code": "US",
"telephone_number": "320-252-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "219 14th St S",
"address_purpose": "LOCATION",
"city": "Benson",
"state": "MN",
"postal_code": "562151775",
"country_code": "US",
"telephone_number": "320-774-3666",
"fax_number": "320-774-3660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 9th St SE",
"address_purpose": "LOCATION",
"city": "Long Prairie",
"state": "MN",
"postal_code": "563471404",
"country_code": "US",
"telephone_number": "320-774-3666",
"fax_number": "320-774-3660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMPSEY",
"first_name": "KAYLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002505",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "3523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sauk Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.