Healthcare Provider Details

I. General information

NPI: 1447828553
Provider Name (Legal Business Name): CLAIRE ELIZABETH SKORSETH OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3636 2ND ST S
SAINT CLOUD MN
56301-3732
US

IV. Provider business mailing address

3636 2ND ST S
SAINT CLOUD MN
56301-3732
US

V. Phone/Fax

Practice location:
  • Phone: 320-316-9880
  • Fax: 320-316-9881
Mailing address:
  • Phone: 320-316-9880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3821
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: