NPIMap

Organization Active NPI

Richard N Kittelson

Doing business as Optical Eyedeas

  • Optician
  • Detroit Lakes, MN
National Provider Identifier
1962496570
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
03590 Issued in MN
Legal business name
RICHARD N KITTELSON
Doing business as
Optical Eyedeas
Practice address
918 Washington Ave
Detroit Lakes, MN 56501-3402
Phone
(218) 847-8021
Fax
(218) 846-9552
NPI assigned
Sep 9, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Richard N Kittelson, ABOCNPI 1790942332
Title
Optician/Owner
Phone
(218) 847-8021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 03590 MN Primary
Eyewear Supplier 332H00000X MN

Addresses

Primary practice location

918 Washington Ave
Detroit Lakes, MN 56501-3402

Mailing address

918 Washington Ave
Detroit Lakes, MN 56501-3402
Phone (218) 847-8021

Other identifiers 3

IdentifierTypeStateIssuer
1C991OPOtherMNBLUE CROSS BLUE SHIELD
2100679OtherMNMEDICA
OPT301766OtherNDNORTH DAKOTA VISION SERVI

Other names 1

  • OPTICAL EYEDEAS Doing business as

National Provider Directory

National Provider Directory

Locations

918 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 847-8021

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": "",
            "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"
        }
    ]
}

Other providers in Detroit Lakes, MN

Sources for this page

  • 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.