Individual provider Active NPI

Abby Ann Trettin, O.D.

  • Optometrist
  • Hutchinson, MN
National Provider Identifier
1891283743
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3567 Issued in MN
Practice address
1059 MN-15
Hutchinson, MN 55350
Phone
(320) 587-4744
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3567 MN Primary

Addresses

Primary practice location

1059 MN-15
Hutchinson, MN 55350

Mailing address

1049 2ND St SW
Delano, MN 55328-2838

Other practice location 1

520 US-12
Suite 106
Litchfield, MN 55355
Phone (320) 693-9333

Other names 1

  • Abby Ann Taffe Former name

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
I20181116001018 MN Practitioner - Optometry 8123372752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hutchinson Superstore IncGroup PAC ID 6901835636, 4 clinicians

Practice addresses (Care Compare)

1059 Hwy 15 S
Hutchinson, MN 55350-3153
Phone (320) 587-4744

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3567MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Superstore Inc Optometrist CurrentSince Oct 29, 2018 Accepting new patients
Hutchinson Superstore Inc Optometrist CurrentSince Oct 29, 2018 Accepting new patients

Locations

1045 Crossing Dr
#200
Delano, MN 55328
Phone (320) 582-3755

1059 Highway 15 S
Hutchinson, MN 55350
Phone (320) 582-3755

520 E Highway 12
Ste 106
Litchfield, MN 55355
Phone (320) 693-9333

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1891283743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 2ND ST SW",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553282838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 MN-15",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "55350",
            "telephone_number": "320-587-4744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 US-12",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "MN",
            "postal_code": "55355",
            "country_code": "US",
            "telephone_number": "320-693-9333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRETTIN",
        "first_name": "ABBY",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "TAFFE",
            "middle_name": "ANN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hutchinson, MN

Sources for this page

Verify at the official NPI Registry.