Kristel Ann Rogers, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3057 Issued in MN

Practice address

6936 Pine Arbor Dr S Ste 110
Cottage Grove, MN 55016-4672

Phone

(651) 769-1020

Fax

(615) 769-1021

NPI assigned

Jul 6, 2006

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI, MN2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Eye Care Prescott, LTD.Group PAC ID 8224397260, 5 clinicians

Premier Eye Care, Cottage Grove, LTDGroup PAC ID 5395756407, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristel.rogers@direct.revolutionehr.com

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.

• Premier Eye Care Prescott, LTD.

  dba Premier Eye Care, Prescott

  • Optometrist
  • Prescott, WI
  • NPI 1851816169
  Medicare reassignment Care Compare group Authorized official
• Premier Eye Care, Cottage Grove, LTD

  dba Premier Eye Care, Cottage Grove

  • Optometrist
  • Cottage Grove, MN
  • NPI 1497792758
  Medicare reassignment Care Compare group NPD
• Enhanced Eye Care LLC

  • Optometrist
  • New Richmond, WI
  • NPI 1356171862
  NPD (past)
• Jeffrey W. Williams, O.D. & Associates, PA

  • Eyewear Supplier
  • New Richmond, WI
  • NPI 1265502272
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1699706515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 TOWER DR W STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827512",
            "telephone_number": "651-257-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 PINE ARBOR DR S STE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164672",
            "telephone_number": "651-769-1020",
            "fax_number": "615-769-1021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 N Acres Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "WI",
            "postal_code": "540217053",
            "country_code": "US",
            "telephone_number": "715-262-1020",
            "fax_number": "715-262-1285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KRISTEL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3048",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699706515",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38629900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Landon Lindsey Rice, LICSW
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• Stevi Ritt, MA
• Robert Lennartson (New Beginnings)
• Rosewater Mental Health PLLC
• Samantha Roth, PA
• Susan K Rotty, RD
• Santori Chiropractic Center, LLC
• Michael F. Santori, D.C.

• Optometrist in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.