Optometry Clinic, PC
NPI 1225686827 · Optometrist · Kenmare, ND
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optometry Clinic, PC is a Optometrist organization in Kenmare, ND (NPI 1225686827).
Provider details
- NPI number
- 1225686827
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tesha Gustafson, Owner/Optometrist(701) 629-0208
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 102 S Main StStanley, ND 58784Phone: (701) 628-3232
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2020-09-18
- Certified
- 2020-09-17
Frequently asked questions
- What is Optometry Clinic, PC's NPI number?
- Optometry Clinic, PC's National Provider Identifier (NPI) is 1225686827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optometry Clinic, PC?
- Optometry Clinic, PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Optometry Clinic, PC located?
- Optometry Clinic, PC's practice location on file with NPPES is 28 2nd St Nw, Kenmare, ND 58746-7114.
- What is Optometry Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for Optometry Clinic, PC is (701) 385-4004.
- Does Optometry Clinic, PC accept Medicare?
- Optometry Clinic, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Optometry Clinic, PC?
- The authorized official listed on Optometry Clinic, PC's NPPES record is Tesha Gustafson, Owner/Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optometry Clinic, PC's NPI active?
- Yes — Optometry Clinic, PC's NPI (1225686827) is active in the NPPES registry as of the last update on 2020-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.