Individual provider Active NPI

Tara Amber Kempfer, O.D.

  • Optometrist
  • Fergus Falls, MN
National Provider Identifier
1750398228
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3063 Issued in MN
Practice address
810 N Baird Ave
Fergus Falls, MN 56537-1617
Phone
(218) 736-5609
Fax
(218) 736-5600
NPI assigned
Aug 1, 2006
Last updated
Nov 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 629 SD
Optometrist 152W00000X 3063 MN Primary

Addresses

Primary practice location

810 N Baird Ave
Fergus Falls, MN 56537-1617

Mailing address

810 N Baird Ave
Fergus Falls, MN 56537-1617
Phone (218) 736-5609

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070131000497 MN Practitioner - Optometry 1759383946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fergus Falls Vision Care PAGroup PAC ID 1456263706, 5 clinicians

Practice addresses (Care Compare)

810 N Baird Ave
Fergus Falls, MN 56537-1617
Phone (218) 736-5609

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
629SDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fergus Falls Vision Care PA Optometrist CurrentSince Oct 24, 2006 Accepting new patients

Locations

810 N Baird Ave
Fergus Falls, MN 56537
Phone (218) 736-5609

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1750398228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N BAIRD AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371617",
            "telephone_number": "218-736-5609",
            "fax_number": "218-736-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N BAIRD AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371617",
            "telephone_number": "218-736-5609",
            "fax_number": "218-736-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPFER",
        "first_name": "TARA",
        "middle_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "629",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.