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Contact Information

RICHARD N KITTELSON
918 WASHINGTON AVE
DETROIT LAKES, MN56501-3402
 Phone: 218-847-8021
 Fax: 218-846-9552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for RICHARD N KITTELSON

NPI Number 1962496570
LBN Legal business name RICHARD N KITTELSON
Authorized official RICHARD KITTELSON - (OPTICIAN/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2005
Last updated 09/11/2025 - About 9 months ago
Identifiers
MN License # 03590
MN Other 1C991OP BLUE CROSS BLUE SHIELD
MN Other 2100679 MEDICA
ND Other OPT301766 NORTH DAKOTA VISION SERVI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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