Active NPI
Kristen N Olson, O.D.
- Optometrist
- Fargo, ND
National Provider Identifier
1801045729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 674
- Practice address
- 4731 13TH Ave S
Fargo, ND 58103-7269 - Phone
- (701) 281-2746
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3158 | MN | |
| Optometrist | 152W00000X | 674 | ND | Primary |
Addresses
Primary practice location
4731 13TH Ave S
Fargo, ND 58103-7269
Mailing address
1818 52ND St S
Fargo, ND 58103-7748
Phone (701) 426-7390
Other names 1
- Kristen Schuchard
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3232 13TH Ave S
Fargo, ND 58103-3403
Phone (701) 280-3000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3158 | MN | MD | Optometrist |
| 674 | ND | MD | Optometrist |
Interoperability endpoints
- kristen01@fargovision.emadirect.md
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 and National Provider Directory roles.
-
- Eyewear Supplier
- Fargo, ND
- NPI 1659326205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1801045729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 52ND ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581037748",
"telephone_number": "701-426-7390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4731 13TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581037269",
"telephone_number": "701-281-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KRISTEN",
"middle_name": "N",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3158",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "SCHUCHARD",
"credential": "OD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.