Individual provider Active NPI

Sarah C Krietlow, OD

  • Optometrist
  • Chaska, MN
National Provider Identifier
1831281989
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2805 Issued in MN
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

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2201475OtherMNMEDICA
736100900OtherMNMN CARE
847271028812OtherMNPREFERRED ONE
121037OtherMNEYEMED
HP35760OtherMNHEALTHPARTNERS
921871028812OtherMNPREFERRED ONE
131452OtherMNUCARE
147RICHOtherMNBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110001203 MN Practitioner - Optometry 7113980046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Complete Vision Care, Inc.Group PAC ID 1153637905, 2 clinicians

Practice addresses (Care Compare)

106 Pioneer TRL
Chaska, MN 55318-1167
Phone (952) 368-2325

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Vision Care, Inc. Optometrist CurrentSince Feb 6, 2012 Accepting new patients
Red Wing Vision Care LLC Optometrist PastSince Sep 19, 2019 Accepting new patients
Essential Eyecare Minnesota Inc Optometrist PastSince Jan 26, 2022 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.

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

Verify at the official NPI Registry.