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

Kylie Hartigan Jacobsen, OD

Individual provider Optometrist · NPI 1891206819

Kylie Hartigan Jacobsen, OD is an Optometry in Elk River, Minnesota. Qualified in 2017, 9 years ago. Practices with Mlp Optometry, a 5-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
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

19576 Holt St NW
Elk River, MN 55330-1287
Phone: (763) 241-2083
Fax: (763) 241-2083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3537 (MN)

Record details

NPI number1891206819
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 17, 2017
Last updated in NPPESOctober 17, 2017

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mlp Optometry — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elk River