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

Dr. Kelsey Marie Sieg, OD

Individual provider Optometrist · NPI 1336590116

Dr. Kelsey Marie Sieg, OD is an Optometry in Richfield, Minnesota. Graduated from Pennsylvania College of Optometry in 2016, 10 years ago. Practices with Wallerich Eye Care LLC, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Washington.

Years since qualifying
10
Trained at
Pennsylvania College of Optometry
Licensed in
MN, WA
In the registry since
2016
Specialties on file
4
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

817 E 66th St
Richfield, MN 55423-2506
Phone: (612) 488-1566
Fax: (612) 488-1564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 817 E 66th St Ste B, Richfield, MN 55423-2506 — (612) 200-3286
  • 1300 University Ave W, Saint Paul, MN 55104-4103 — (612) 643-3525

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3592 (MN)
Optometrist Taxonomy 152W00000X · Licence 60663734 (WA)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 60663734 (WA)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence 60663734 (WA)

Record details

NPI number1336590116
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Wallerich Eye Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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