Michael Kenneth Rexine, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

575 Issued in ND

Practice address

32 Main St W
Mayville, ND 58257-1314

Phone

(701) 786-2666

Fax

(701) 786-2292

NPI assigned

Aug 15, 2006

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael Rexine OD PCGroup PAC ID 9830156280, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

14.17 of 100Reported as individual

Quality

28.33

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Michael Rexine OD PC

  dba Eyes On Broadway

  • Optometrist
  • Mayville, ND
  • NPI 1609062272
  Medicare reassignment Care Compare group Authorized official
• Eye Physicians Group LLC

  dba Bagan Strinden Vision

  • Ophthalmology Physician
  • Fargo, ND
  • NPI 1346405891

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1700899143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MAIN ST W",
            "city": "MAYVILLE",
            "state": "ND",
            "postal_code": "582571314",
            "telephone_number": "701-786-2666",
            "fax_number": "701-786-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MAIN ST W",
            "city": "MAYVILLE",
            "state": "ND",
            "postal_code": "582571314",
            "telephone_number": "701-786-2666",
            "fax_number": "701-786-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Broadway N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581024714",
            "country_code": "US",
            "telephone_number": "701-540-6444",
            "fax_number": "701-540-6441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REXINE",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60602",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omdalen Chiropractic Clinic PC
• Scott Edward Omdalen, DC
• Orofacial Myology Consulting
• Jane Ostlie, MD
• Tami K Parker, PT
• Carolyn Rygg
• Sanford Health Network North (Sanford Mayville)
• Sanford Health Network North (Sanford Health Finley Clinic)
• Sanford Health Network North
• Mary Jo Slaathaug, M.S., SLP-CCC

• Optometrist in Mayville, ND
• Providers in Mayville, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.