RICHARD N KITTELSON NPI 1962496570

NPI Information

NPI: 1962496570
Provider Name: RICHARD N KITTELSON
Classification: Technician/Technologist - 156FX1800X
Specialization: Optician
Entity Type: Organization
:
Address: 918 WASHINGTON AVE
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 847-8021

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NPI Details

RICHARD N KITTELSON is an optician technician technologist in Detroit Lakes, MN. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. RICHARD N KITTELSON NPI is 1962496570. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

918 WASHINGTON AVE
DETROIT LAKES, MN
ZIP 56501-402
Phone: (218) 847-8021
Fax: (218) 846-9552

The provider's authorized official is Richard N Kittelson .
The authorized official title is Optician/owner and has the following contact phone number (218) 847-8021.

The enumeration date for this NPI number is 9/9/2005 and was last updated on 9/11/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier			MINNESOTA	No
2	156FX1800X	Technician/Technologist	Optician	03590	MINNESOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1C991OP	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	2100679	OTHER	MINNESOTA	MEDICA
3	OPT301766	OTHER	NORTH DAKOTA	NORTH DAKOTA VISION SERVI

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: 11/21/2025

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