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

Mark Korthals, OD

Individual provider Optometrist · NPI 1215091749

Mark Korthals, OD is an Optometry in Maple Grove, Minnesota. Graduated from Illinois College of Optometry at Chicago in 2004, 22 years ago. Practices with Hutchinson Superstore Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Trained at
Illinois College of Optometry at Chicago
Licensed in
MN
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13195 Weaver Lake Rd
Maple Grove, MN 55369-9410
Phone: (763) 420-5112
Fax: (763) 420-6957
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2972 (MN)

Record details

NPI number1215091749
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESSeptember 4, 2015
Mailing address13195 Weaver Lake Rd, Maple Grove, MN 55369-9410

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2004 (22 years in practice)
Group practice Hutchinson Superstore Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maple Grove