DR. COURTNEY RAY SIVERTSON


Address: 3632 10th Ln Nw, Rochester, MN 55901-7032
Phone: 5072827121

DR. COURTNEY RAY SIVERTSON (NPI# 1114948734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114948734
Entity Type Individual
Full Name DR. COURTNEY RAY SIVERTSON
Credential O.D.
Practice Address 3632 10th Ln Nw
Rochester
MN 55901-7032
Practice Telephone 5072827121
Mailing Telephone 5072104894
Enumeration Date 2006-07-21
Last Update Date 2012-07-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3070 MN Eye and Vision Services Providers
N 152W00000X Optometrist 6246453-9934 UT Eye and Vision Services Providers
N 152WC0802X Optometrist
Specialization: Corneal and Contact Management
3070 MN Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN UCARE 138801 01
MN BLUE CROSS BLUE SHIELD 617A1SI 01
MN BLUE CROSS BLUE SHIELD 09Y98SI 01
MN BLUE CROSS BLUE SHIELD 09Y99LI 01
MN BLUE CROSS BLUE SHIELD 6C464AN 01
MN BLUE CROSS BLUE SHIELD 09Y96LI 01
MN HEALTH PARTNERS HP77005 01
MN BLUE CROSS BLUE SHIELD 39797WE 01
MN HUMANA 411898525 01
MN PREFERRED ONE 916891050630 01
MN 763132000 05
MN MAYO MANAGEMENT SERVICES 411898525 01
MN BLUE CROSS BLUE SHIELD 628A8SI 01

Office Location

Street Address 3632 10TH LN NW
City ROCHESTER
State MN
Zip Code 55901-7032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649215328 Joel C Michelson Dentist 3632 10th Ln Nw, Rochester, MN 55901-6917 2006-06-18
1669851192 Caitlin Heggestad Optometrist 3632 10th Ln Nw, Rochester, MN 55901-7032 2015-05-29
1730498478 Lisa A Rosenau Dental Assistant 3632 10th Ln Nw, Rochester, MN 55901-7032 2010-09-29
1376790543 Andrew Quentin Madson Dentist 3632 10th Ln Nw, Rochester, MN 55901 2008-08-19
1316107790 Lifetime Eye Care of Rochester Inc Eyewear Supplier (Equipment, not the service) 3632 10th Ln Nw, Suite 2, Rochester, MN 55901-7032 2008-06-10
1770776312 Southeastern Minnesota Oral & Maxillofacial Surgery Associates Clinic/Center 3632 10th Ln Nw, Rochester, MN 55901-7032 2007-08-27
1386867703 Susan Marie Stellmaker Nurse's Aide 3632 10th Ln Nw, Rochester, MN 55901-7032 2007-04-11
1598988891 Sheryl Ann Benike Licensed Practical Nurse 3632 10th Ln Nw, Rochester, MN 55901-7032 2007-04-11
1437372166 Joan Ellen Ojanen Dental Assistant 3632 10th Ln Nw, Rochester, MN 55901-7032 2007-04-11
1659402758 Pamela Jane Adamson Licensed Practical Nurse 3632 10th Ln Nw, Rochester, MN 55901-7032 2007-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417554627 Austin Montgomery Gray Chiropractor 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 2020-10-01
1497303150 Tatenda Valentine Rudziva Nurse Practitioner 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 2019-08-27
1629566872 Juan Simon Rico Mesa Student in an Organized Health Care Education/Training Program 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 2018-04-24
1336658277 Minnesota Teen Challenge Exclusive Provider Organization 1542 Assisi Drive Nw, Rochester, MN 55901 2017-09-22
1235648270 Mariah Adanene Registered Nurse 915 41st Street Nw, Rochester, MN 55901 2017-09-21
1912420639 Anna Maria Schuman Speech-Language Pathologist 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 2017-07-25
1871013870 Rhonda Keith Counselor 602 11th Avenue Nw #300, Rochester, MN 55901 2017-06-21
1548794316 Trevor Kindle Ophthalmology 200 1st Ave Nw, Rochester, MN 55901 2017-04-18
1659810844 Rx Team Home Health Care LLC Home Health 1027 7th St Nw Unit #204, Rochester, MN 55901 2017-02-21
1457713109 Joshua Carter Chiropractor 3270 19th St Nw Ste 203, Rochester, MN 55901 2016-03-22
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy 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.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316588700 Total Vision Eyecare, Pllc Optometrist 1630 Center St W, Rochester, MN 55902-0346 2019-10-07
1619529278 Amanda Domagola Optometrist 451 Hollybrook Rd, Rochester, NY 14623-4115 2019-07-14
1962062000 Megan Elizabeth Hart Optometrist 3173 Chili Ave Ste 400, Rochester, NY 14624-5400 2019-06-20
1902310006 Maria Annum Optometrist 3462 55th St Nw Ste 600, Rochester, MN 55901-0203 2017-11-28
1467964627 Eric Lee Houghtaling Optometrist 2180 Monroe Ave Ste 1, Rochester, NY 14618-2410 2017-10-27
1942731682 Bhend Family Eye Care, Pllc Optometrist 2650 S Broadway, Suite 400, Rochester, MN 55904-6262 2017-03-24
1770932147 Ashley Mills Optometrist 10 Woodcrest Dr, Rochester, NY 14625 2016-06-07
1376957779 David William Kenney Optometrist 3042 W Ridge Rd, Rochester, NY 14626-1676 2014-06-13
1801221346 Anthony J Dell'anno Optometrist 2590 W Ridge Rd, Rochester, NY 14626-3041 2013-09-03
1972944668 Marycarol Graby Optometrist 2301 Lac Deville Blvd, Rochester, NY 14618-5646 2013-07-10
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Competitor

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City ROCHESTER
Zip Code 55901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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