Kueber Eye Care PLLC

Organization Active NPI Optometrist · Park Rapids, MN

NPI 1669819868 · NPPES record last updated Feb 17, 2026

Key facts

NPI
1669819868
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
3327 (MN)
Legal business name
KUEBER EYE CARE PLLC
Practice address
110 Henrietta Ave N
Park Rapids, MN 56470-2154
Phone
(218) 732-8535
NPI assigned
May 28, 2013
Organization subpart
No

Authorized official

Name
Jamie Mae Kueber
Title
Owner
Phone
(218) 732-8535

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kueber Eye Care
110 Henrietta Ave North, Park Rapids, MN 56470-1764 · (218) 732-8535
Prosthetic Lenses: Conventional Eyeglasses Accepts assignment
Participating since Dec 20, 2013

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20131219001380 MN Part B Supplier - Clinic/Group Practice 1658508668 Receives reassigned benefits from 3 practitioners
Practice locations: Park Rapids, MN
O20170421001861 MN DME Supplier - Physician - Optometrist 1658508668 Practice locations: Park Rapids, MN

National Provider Directory

Locations

2025 Paul Bunyan Dr NW
Bemidji, MN 56601
Phone (218) 755-6132

1011 1st St E
Ste 1
Park Rapids, MN 56470
Phone (218) 732-8535

1011 1st St E
Park Rapids, MN 56470
Phone (218) 252-3333

110 Henrietta Ave N
Park Rapids, MN 56470
Phone (218) 732-8535

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 3327 MN Yes

Addresses

Primary practice location

110 Henrietta Ave N
Park Rapids, MN 56470-2154

Mailing address

110 Henrietta Ave N
Park Rapids, MN 56470-2154
Phone (218) 732-8535

Other names

  • Kueber Eye Care Doing business as

Other providers in Park Rapids, MN

All providers in Park Rapids, MN · Optometrist in Minnesota

Sources for this page

Verify at the official NPI Registry.