Richard N Kittelson

Primary specialty

OpticianTaxonomy code 156FX1800X

License

03590 Issued in MN

Legal business name

RICHARD N KITTELSON

Practice address

918 Washington Ave
Detroit Lakes, MN 56501-3402

Phone

(218) 847-8021

Fax

(218) 846-9552

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard N Kittelson, ABOC

Title

Optician/Owner

Phone

(218) 847-8021

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• OPTICAL EYEDEAS Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph J Kisch, OD

  • Optometrist
  • Morris, MN
  • NPI 1982713012
  NPD (past)
• Leslie R Masciarelli Kisch, OD

  • Optometrist
  • Detroit Lakes, MN
  • NPI 1699876417
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962496570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 WASHINGTON AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013402",
            "telephone_number": "218-847-8021",
            "fax_number": "218-846-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 WASHINGTON AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013402",
            "telephone_number": "218-847-8021",
            "fax_number": "218-846-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD N KITTELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KITTELSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "218-847-8021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MN",
            "license": "03590",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1C991OP",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2100679",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA VISION SERVI",
            "identifier": "OPT301766",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTICAL EYEDEAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Kay Rastedt, RN, BSN
• Recovery Works/BC Jail House Program
• Rachel Redig, M.D.
• Jordan James Reese, CNP
• Johnathan Repoyo
• Jacob Ray Richter
• Mary Jane Richter
• Joanne Marie Riegert
• Riewer & Steinmetz DDS PLLC
• Kristine M Riewer, DDS

• Optician in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.