Provider Demographics
NPI:1528034022
Name:TORKELSON, KARI (OD)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:
Last Name:TORKELSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 S COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6070
Mailing Address - Country:US
Mailing Address - Phone:701-746-6745
Mailing Address - Fax:701-746-6961
Practice Address - Street 1:2900 S COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6070
Practice Address - Country:US
Practice Address - Phone:701-746-6745
Practice Address - Fax:701-746-6961
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND569152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND711236Medicare ID - Type Unspecified
NDU69085Medicare UPIN