Alyssa Judell Richard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3859 Issued in MN

Practice address

2180 Troop Dr
Sartell, MN 56377-4582

Phone

(320) 258-3915

NPI assigned

May 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinecone Vision Center, PAGroup PAC ID 6800786906, 8 clinicians

MLP OptometryGroup PAC ID 3870820814, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.31 of 100Reported as group

Quality

35

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MLP Optometry LTD

  • Optometrist
  • Saint Cloud, MN
  • NPI 1801454608
  Medicare reassignment Care Compare group NPD
• Pinecone Vision Center, PA

  • Optometrist
  • Sartell, MN
  • NPI 1790830701
  Medicare reassignment Care Compare group NPD
• Pinecone Vision Center, PA

  • Optometrist
  • St. Cloud, MN
  • NPI 1295468098
  NPD

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1699466284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 RED OAK LN",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553629501",
            "telephone_number": "763-486-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774582",
            "telephone_number": "320-258-3915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 2nd St S",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563013732",
            "country_code": "US",
            "telephone_number": "320-316-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "ALYSSA",
        "middle_name": "JUDELL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rem Central Lakes, Inc.
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• Brianna Reuter
• Dale S Reynolds, M.D. PH.D.
• Nicole Ann Rhode
• Sarah Elizabeth Rieger
• Katherine Ellen Risch-Janson
• Chad John Ritter, P.T.
• Michael Edward Rivard, LICSW
• Riverside Dental PA

• Optometrist in Sartell, MN
• Providers in Sartell, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.

Verify at the official NPI Registry.