DR. CRAIG ROBERTS MICKELSON O.D. - NPI 1184720013 - Optometrist in Thief River Falls, MN

Q: What is Craig Mickelson's NPI number?

The NPI number for Craig Mickelson is 1184720013. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Craig Mickelson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Craig Mickelson was last updated on October 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Craig Roberts Mickelson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CRAIG ROBERTS MICKELSON O.D. (NPI 1184720013) is an individual optometrist in Thief River Falls, Minnesota, licensed in Minnesota (1891) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1184720013

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. CRAIG ROBERTS MICKELSONCredential: O.D.

Location Address1720 HIGHWAY 59 SThief River Falls, MN 56701-4331

Mailing Address1720 Highway 59 SThief River Falls, MN 56701-4331 · (218) 681-4747

Phone(218) 681-4747

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateOctober 24, 2011

✔ NPI 1184720013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MN · 1891

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1720 HIGHWAY 59 S, Thief River Falls, MN 56701

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Other Identifiers 10

Other410044422Rr Medicare

Other61B37MIMN · Blue Cross Blue Shield

Other140661MN · Ucare

Medicare ID-Type Unspecified410001445MN

Other1026440Preferred One

Other2201140Medica

Medicare UPINT65864

Other3902360001MN · Durable Medical Equipment

Other71973Health Partners

Medicaid457323400MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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