Active NPI
Bryan David Lorenz, OD
- Optometrist
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2694
- Practice address
- 4161 2ND St S
Shopko Optical
Saint Cloud, MN 56301-3761 - Phone
- (320) 253-5994
- Fax
- (320) 253-5790
- NPI assigned
- Jun 7, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 | 2694 | MN | Primary |
Addresses
Primary practice location
4161 2ND St S
Shopko Optical
Saint Cloud, MN 56301-3761
Mailing address
4161 2ND St S
Shopko Optical
Saint Cloud, MN 56301-3761
Phone (320) 253-5994
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1004 18TH Ave NW
Suite D
Austin, MN 55912-1993
Phone (507) 437-8228
4051 W Division St
Suite a
Saint Cloud, MN 56301-3741
Phone (320) 253-5994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2694 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
Locations
1004 18th Ave NW
Ste D
Austin, MN 55912
Phone (507) 437-8228
4161 2nd St S
Saint Cloud, MN 56301
Phone (320) 253-3280
501 Highway 10 S
Saint Cloud, MN 56304
Phone (320) 253-4695
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Eyewear Supplier
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- NPI 1467311142
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881634806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 2ND ST S",
"address_2": "SHOPKO OPTICAL",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563013761",
"telephone_number": "320-253-5994",
"fax_number": "320-253-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 2ND ST S",
"address_2": "SHOPKO OPTICAL",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563013761",
"telephone_number": "320-253-5994",
"fax_number": "320-253-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZ",
"first_name": "BRYAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.