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

Individual provider Optometrist · NPI 1053540690

Dr. Kelly Crenna, OD is an Optometry in Maple Grove, Minnesota. Qualified in 2009, 17 years ago. Practices with Visionary Eye Care PA, a 13-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009
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

13195 Weaver Lake Rd
Maple Grove, MN 55369-9410
Phone: (763) 599-0153
Fax: (763) 420-6957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3171 (MN)

Record details

NPI number1053540690
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 3, 2009
Last updated in NPPESMay 6, 2015

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Visionary Eye Care Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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