Michael Monda, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3629 Issued in MN

Practice address

506 Laurel St
Brainerd, MN 56401-3526

Phone

(218) 829-0946

NPI assigned

Apr 22, 2019

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

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brainerd Eyecare Center, PAGroup PAC ID 3870691074, 4 clinicians

Practice addresses (Care Compare)

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.

• Brainerd Eyecare Center, PA

  • Optometrist
  • Brainerd, MN
  • NPI 1942351002
  Medicare reassignment Care Compare group NPD
• Brainerd Eyecare Center, PA

  • Optician
  • Brainerd, MN
  • NPI 1871856229

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1770146003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LAUREL ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013526",
            "telephone_number": "218-829-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LAUREL ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013526",
            "telephone_number": "218-829-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Teen Challenge, Inc
• Minnesota Teen Challnge, Inc.
• Mjheldt Inc
• Rolf P Moen, DDS
• Matthew Gary Mohrenweiser, CRNA
• Steven Todd Monda, O.D.
• Dustin R Monson, LMFT
• Jane Terese Monson, LICSW
• David Joseph Montecino, LADC, ADCR-MN, NCPT3
• Desiree Ann Montonye Johnson, LADC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.