Glenn Kallevig, O.D.
NPI 1174688725 · Optometrist · Princeton, MN
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glenn Kallevig, O.D. is a Optometrist provider in Princeton, MN (NPI 1174688725).
Provider details
- NPI number
- 1174688725
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2359 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Glenn Kallevig's NPI number?
- Glenn Kallevig's National Provider Identifier (NPI) is 1174688725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Kallevig's specialty?
- Glenn Kallevig is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Glenn Kallevig located?
- Glenn Kallevig's practice location on file with NPPES is 101 S Rum River Dr, Princeton, MN 55371-1815.
- What is Glenn Kallevig's phone number?
- The practice phone number listed in the NPPES registry for Glenn Kallevig is (763) 389-9000.
- Does Glenn Kallevig accept Medicare?
- Glenn Kallevig is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Glenn Kallevig's NPI active?
- Yes — Glenn Kallevig's NPI (1174688725) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.