Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Courtney Ray Sivertson, O.D.

Optometrist in Rochester, MN · enumerated 2006 · practices at Lifetime Eye Care of Rochester Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114948734

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Registry record

Entity type Individual (Type 1)

Name Dr. Courtney Ray Sivertson

Credential O.D.

Sex Male

Practice address 3632 10th Ln Nw, Rochester, MN, 55901

Phone (507) 282-7121

Enumeration date Jul 21, 2006

Last updated in NPPES Jul 19, 2012

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 6246453-9934 (UT) Secondary

152WC0802X Corneal and Contact Management Optometrist Eye and Vision Services Providers · License 3070 (MN) Secondary

152W00000X Optometrist Eye and Vision Services Providers · License 3070 (MN) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
09Y98SI	Other	MN	BLUE CROSS BLUE SHIELD
09Y99LI	Other	MN	BLUE CROSS BLUE SHIELD
39797WE	Other	MN	BLUE CROSS BLUE SHIELD
916891050630	Other	MN	PREFERRED ONE
HP77005	Other	MN	HEALTH PARTNERS
09Y96LI	Other	MN	BLUE CROSS BLUE SHIELD
411898525	Other	MN	HUMANA
6C464AN	Other	MN	BLUE CROSS BLUE SHIELD
138801	Other	MN	UCARE
628A8SI	Other	MN	BLUE CROSS BLUE SHIELD
763132000	Medicaid	MN	-
411898525	Other	MN	MAYO MANAGEMENT SERVICES
617A1SI	Other	MN	BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Courtney Sivertson?

Courtney Sivertson is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-19.