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DR. COURTNEY RAY SIVERTSON O.D. NPI 1114948734


NPI Information

NPI: 1114948734
Provider Name: DR. COURTNEY RAY SIVERTSON, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3632 10TH LN NW
ROCHESTER, MN
ZIP 55901
Phone: (507) 282-7121
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DR. Courtney Ray Sivertson, O.D. is an optometrist in Rochester, MN with 18 years of experience. The provider is 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. DR. Courtney Ray Sivertson, O.D. NPI is 1114948734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:2006

The provider's business location address is:

3632 10TH LN NW
ROCHESTER, MN
ZIP 55901-032
Phone: (507) 282-7121

The NPI 1114948734 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Diagnostic imaging of retina (HCPCS:92134)

The enumeration date for this NPI number is 7/21/2006 and was last updated on 7/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist6246453-9934UTAHNo
2152WC0802XOptometristCorneal and Contact Management3070MINNESOTANo
3152W00000XOptometrist3070MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109Y98SIOTHERMINNESOTABLUE CROSS BLUE SHIELD
2V11757MEDICARE UPINMINNESOTA
309Y96LIOTHERMINNESOTABLUE CROSS BLUE SHIELD
4411898525OTHERMINNESOTAMAYO MANAGEMENT SERVICES
5628A8SIOTHERMINNESOTABLUE CROSS BLUE SHIELD
6916891050630OTHERMINNESOTAPREFERRED ONE
7617A1SIOTHERMINNESOTABLUE CROSS BLUE SHIELD
8HP77005OTHERMINNESOTAHEALTH PARTNERS
9763132000MEDICAIDMINNESOTA
106C464ANOTHERMINNESOTABLUE CROSS BLUE SHIELD
1109Y99LIOTHERMINNESOTABLUE CROSS BLUE SHIELD
1239797WEOTHERMINNESOTABLUE CROSS BLUE SHIELD
13410002771MEDICARE PINMINNESOTA
14138801OTHERMINNESOTAUCARE
15411898525OTHERMINNESOTAHUMANA
16410003032MEDICARE PINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.