National Provider Identifier Database

RICHARD N KITTELSON
Optician


Contact Information

RICHARD N KITTELSON
918 WASHINGTON AVE
DETROIT LAKES, MN56501-3402
Phone: 218-847-8021
Fax: 218-846-9552
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for RICHARD N KITTELSON

NPI Number 1962496570
Legal business name
LBN
RICHARD N KITTELSON
Authorized official RICHARD KITTELSON - (OPTICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/09/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 03590
  • MN Other: 1C991OP BLUE CROSS BLUE SHIELD
  • MN Other: 2100679 MEDICA
  • ND Other: OPT301766 NORTH DAKOTA VISION SERVI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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