Kora A Bosworth, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3786 Issued in MN

Practice address

2019 Jefferson Rd Ste a
Northfield, MN 55057-3258

Phone

(507) 645-9202

Fax

(507) 645-9203

NPI assigned

Jun 7, 2022

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Valley Eye Associates Inc.Group PAC ID 7810897964, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Valley Eye Associates, Inc

  dba River Valley Eye Professionals

  • Clinic/Center
  • Northfield, MN
  • NPI 1518057553

  Optometrist

  Medicare reassignment Care Compare group NPD
• DRS. Akre & Clark, LTD.

  • Optometrist
  • New Ulm, MN
  • NPI 1326031287
  Medicare reassignment NPD
• DRS. Akre & Clark, LTD.

  • Optometrist
  • Springfield, MN
  • NPI 1376180109
  NPD
• DRS. Akre & Clark, LTD.

  dba Drs. Akre & Clark

  • Optometrist
  • Waseca, MN
  • NPI 1558099101
  NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1942939897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 JEFFERSON RD STE A",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 JEFFERSON RD STE A",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573258",
            "telephone_number": "507-645-9202",
            "fax_number": "507-645-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWORTH",
        "first_name": "KORA",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Julane Black, MSW, LICSW, LADC
• Claire Blanchard
• Cynthia Lynn Bock, PT
• Barbara Anne Bofenkamp, MA LP
• Borak, Inc (Northfield Pharmacy)
• Nina Marie Bradfield, PA-C
• Lauren Alexandra Brandeen, MS, CF-SLP
• Elizabeth Brandenburg, OTR/L
• Nicole Louise Braun
• Lara Brown, LICSW

• Optometrist in Northfield, MN
• Providers in Northfield, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.