Johanna Kinser, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4056 Issued in MN

Practice address

15704 90TH St NE # 100
Otsego, MN 55330-7448

Phone

(763) 241-1090

NPI assigned

Apr 7, 2026

Last updated

Jun 1, 2026By 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

Not listed in the public Medicare enrollment file

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.

Specialty

Optometry

Education

Indiana University - School of Optometry, 2026

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Bright Eyes Vision Clinic, PA

  • Optometrist
  • Otsego, MN
  • NPI 1720113947
  NPD

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1972445179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 34TH AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15704 90TH ST NE # 100",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553307448",
            "telephone_number": "763-241-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13889 Ridgedale Dr",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051768",
            "country_code": "US",
            "telephone_number": "763-241-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSER",
        "first_name": "JOHANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kells Joyful Living Inc
• Kennedy Vision Health Center, LLC
• Heather A Kerfeld
• Jamie Ann Kienitz, RN
• Amy Lou Kimbler, MT-BC
• Jennifer Klutch, MA, LPCC
• Ann M Kooiker, MD
• Angela M Krats, MSW, LGSW
• Rachel Krautbauer, DPT
• Jennifer Krebs

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.