Active NPI
Sarah C Krietlow, OD
- Optometrist
- Chaska, MN
National Provider Identifier
1831281989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2805
- Practice address
- 200 Pioneer TRL Ste 108
Chaska, MN 55318-1169 - Phone
- (612) 386-2001
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2805 | MN | Primary |
Addresses
Primary practice location
200 Pioneer TRL Ste 108
Chaska, MN 55318-1169
Mailing address
106 Pioneer TRL
Chaska, MN 55318-1167
Phone (952) 368-2325
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2201475 | Other | MN | MEDICA |
| 736100900 | Other | MN | MN CARE |
| 847271028812 | Other | MN | PREFERRED ONE |
| 121037 | Other | MN | EYEMED |
| HP35760 | Other | MN | HEALTHPARTNERS |
| 921871028812 | Other | MN | PREFERRED ONE |
| 131452 | Other | MN | UCARE |
| 147RICH | Other | MN | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
106 Pioneer TRL
Chaska, MN 55318-1167
Phone (952) 368-2325
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Vision Care, Inc. | Optometrist | Current | Accepting new patients |
| Red Wing Vision Care LLC | Optometrist | Past | Accepting new patients |
| Essential Eyecare Minnesota Inc | Optometrist | Past | Accepting new patients |
Locations
15052 Gleason Path
Ste 103
Apple Valley, MN 55124
Phone (952) 432-5889
106 Pioneer Trl
Chaska, MN 55318
Phone (952) 368-2325
Organizations & group practices 3
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.
-
- Optometrist
- Chaska, MN
- NPI 1306223151
-
- Optometrist
- Red Wing, MN
- NPI 1720739022
-
- Optometrist
- Red Wing, MN
- NPI 1326251711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1831281989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 PIONEER TRL",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181167",
"telephone_number": "952-368-2325",
"fax_number": "952-368-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PIONEER TRL STE 108",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181169",
"telephone_number": "612-386-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIETLOW",
"first_name": "SARAH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2805",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "2201475",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN CARE",
"identifier": "736100900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "847271028812",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "121037",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP35760",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "921871028812",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "131452",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "147RICH",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.