Tracye Dawn Rasmussen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3014 Issued in MN

Practice address

120 N Broad Street
Mankato, MN 56001

Phone

(507) 345-5087

Fax

(507) 345-1151

NPI assigned

Sep 20, 2006

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

Other identifiers 1

Other names 1

• Tracye Dawn Eiselt Former name

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

Indiana University - School of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carlson Tillisch Eye Clinic LTDGroup PAC ID 3072410521, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracye.eiselt@direct.revolutionehr.com

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.

• Carlson Tillisch Eye Clinic, LTD

  • Optometrist
  • Mankato, MN
  • NPI 1225116932
  Medicare reassignment Care Compare group NPD
• Carlson Tillisch Eye Clinic, LTD

  • Optometrist
  • New Ulm, MN
  • NPI 1821159435
  NPD
• Vision World Inc

  • Eyewear Supplier
  • Saint Paul, MN
  • NPI 1215012281
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1982702247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N BROAD STREET",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-345-5087",
            "fax_number": "507-345-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N BROAD STREET",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-345-5087",
            "fax_number": "507-345-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "TRACYE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004146700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACYE",
            "last_name": "EISELT",
            "middle_name": "DAWN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eden Mara Rangel
• Mohammad Ranginwala, MD
• John E Rapking, LMFT
• Gay M Rasmussen, DO
• Leah Rasmussen, CNP
• Scott David Rassbach, D.O.
• Michael B Rath, MD
• Stacy Diane Raverty, RN
• Bithika Ray, M.D.
• Jack Rayburn

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.