Individual provider Active NPI

Kianna Swanson, OD

  • Optometrist
  • Stillwater, MN
National Provider Identifier
1861290876
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4013 Issued in MN
Practice address
2950 Curve Crest Blvd W
Stillwater, MN 55082-5085
Phone
(651) 275-3000
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 4013 MN Primary

Addresses

Primary practice location

2950 Curve Crest Blvd W
Stillwater, MN 55082-5085

Mailing address

4532 Majestic Oaks PL
Eagan, MN 55123-3076

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
I20250711002409 MN Practitioner - Optometry 8325553175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Eye Care LTDGroup PAC ID 4486552437, 19 clinicians

Practice addresses (Care Compare)

2950 Curve Crest Blvd W
Stillwater, MN 55082-5085
Phone (651) 275-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4013MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care LTD Optometrist CurrentSince Jun 30, 2025 Accepting new patients
Associated Eye Care Optical LLC Past Accepting new patients

Locations

2380 Rosemary Way
Lino Lakes, MN 55038

1719 Tower Dr W
#100
Stillwater, MN 55082
Phone (651) 275-3050

2950 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 275-3050

237 Radio Dr
Ste 100
Woodbury, MN 55125

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kianna.swansonod.p1@direct.associated-eyecare.nextgenshare.com

Organizations & group practices 2

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1861290876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 MAJESTIC OAKS PL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551233076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825085",
            "telephone_number": "651-275-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "KIANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.