Todd E Trudel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2337 Issued in MN

Practice address

870 Prentice St
Granite Falls, MN 56241-1521

Phone

(320) 564-4997

Fax

(320) 564-2020

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Granite Falls Eyecare IncGroup PAC ID 2163493081, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Granite Falls Eyecare Inc.

  • Optometrist
  • Granite Falls, MN
  • NPI 1851445464

  MN, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016

  MN

  Medicare reassignment Care Compare group NPD
• Granite Falls Eyecare Inc.

  • Optometrist
  • Benson, MN
  • NPI 1649324526
  Care Compare group NPD Authorized official
• Avera Marshall

  • Ophthalmology Physician
  • Redwood Falls, MN
  • NPI 1962724831

  Optometrist

  Care Compare group NPD
• Granite Falls Eyecare, Inc

  • Optometrist
  • Ortonville, MN
  • NPI 1831590777
  NPD Authorized official
• Avera Marshall

  • Home Health Agency
  • Marshall, MN
  • NPI 1033535547
  Care Compare group
• Avera Marshall

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marshall, MN
  • NPI 1154856839
  Care Compare group
• Avera Marshall

  • Skilled Nursing Facility
  • Marshall, MN
  • NPI 1255329033
  Care Compare group
• Avera Marshall

  • Optometrist
  • Dawson, MN
  • NPI 1396513370
  Care Compare group
• Avera Marshall

  • Optometrist
  • Tracy, MN
  • NPI 1487958062
  Care Compare group
• Avera Marshall

  • Durable Medical Equipment & Medical Supplies
  • Marshall, MN
  • NPI 1669622031
  Care Compare group
• Avera Marshall

  • Medicare Defined Swing Bed Hospital Unit
  • Marshall, MN
  • NPI 1700070430
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1902850852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PRENTICE ST",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "562411521",
            "telephone_number": "320-564-4997",
            "fax_number": "320-564-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PRENTICE ST",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "562411521",
            "telephone_number": "320-564-4997",
            "fax_number": "320-564-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDEL",
        "first_name": "TODD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790825300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alexandra Tulintseff, DPT
• Two Three Counseling PLLC
• Upper Sioux Community
• Upper Sioux Community Social Services
• Jane Marie Vansickle, PHD, LP

• All providers in Granite Falls, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.

Verify at the official NPI Registry.