Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Courtney Ray Sivertson, OD

Individual provider Optometrist · NPI 1114948734

Dr. Courtney Ray Sivertson, OD is an Optometry in Rochester, Minnesota. Graduated from Illinois College of Optometry at Chicago in 2006, 20 years ago. Practices with Lifetime Eye Care of Rochester Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Minnesota and Utah.

Years since qualifying
20
Trained at
Illinois College of Optometry at Chicago
Licensed in
MN, UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3632 10th Ln NW
Rochester, MN 55901-7032
Phone: (507) 282-7121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3070 (MN)
Optometrist Taxonomy 152W00000X · Licence 6246453-9934 (UT)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 3070 (MN)

Record details

NPI number1114948734
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESJuly 19, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2006 (20 years in practice)
Group practice Lifetime Eye Care Of Rochester Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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