IndividualActive
Jacob Grund
NPI 1336079524 · Optometrist · Park Rapids, MN
Provider details
- NPI number
- 1336079524
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4063 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
110 7th St W
Park Rapids, MN 56470-1872
Phone: (218) 699-3121
Street-level locationGet directions
Mailing address
2406 Calihan Ave Ne
Bemidji, MN 56601-2336
Registry dates
- Enumerated
- 2026-05-20
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.