LANDON MICHAEL KUDRNA (O.D.) – Optometrist, NPI 1285206318

LANDON MICHAEL KUDRNA (O.D.) is a healthcare provider. based in Blaine, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3746 (MN). The NPI Number for LANDON MICHAEL KUDRNA (O.D.) is 1285206318

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
LANDON MICHAEL KUDRNA (O.D.)
NPI
1285206318
Phone
(763) 757-7000
Address
12170 ABERDEEN ST NE
Enumeration Date
16 July 2021
Last Update Date
16 July 2021

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7637577000
Graduation Year
2021 (5 years ago)
PAC ID
5092110544
Group Practice PAC ID
2264479575
Professional Enrollment ID
I20210820001439
Address ID
MN554494716BL12170NEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for LANDON MICHAEL KUDRNA (O.D.)

  • 12170 ABERDEEN ST NE

    BLAINE, MN 554494716

    Phone: (763) 757-7000

    Fax: (763) 757-3328

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $270.

Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: RxSight Inc ($66).

Total Amount

$270

General + Research + Ownership

Payments

12

Total payment records

General Amount

$270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210820001439IOptometryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2828$0
99213Established patient office or other outpatient visit, 20-29 minutes2216$0
View full utilization report →

Insurance plans in this area (ZIP 55449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264479575View full group profile
NameSpecialtyState
O P T O M E T R YMN
-MN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Where can patients find LANDON MICHAEL KUDRNA (O.D.)'s NPI?
You can confirm LANDON MICHAEL KUDRNA (O.D.) with NPI 1285206318; it appears in the national provider directory.
Is LANDON MICHAEL KUDRNA (O.D.) currently active in the NPI registry?
CMS-published data lists LANDON MICHAEL KUDRNA (O.D.) as an active registrant.
Does LANDON MICHAEL KUDRNA (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for LANDON MICHAEL KUDRNA (O.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for LANDON MICHAEL KUDRNA (O.D.)?
The page summarizes Blaine, Minnesota for LANDON MICHAEL KUDRNA (O.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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