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MINNESOTA EYE CONSULTANTS PA NPI 1932173374


NPI Information

NPI: 1932173374
Provider Name: MINNESOTA EYE CONSULTANTS, PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 24D2169516

Address:
10709 WAYZATA BLVD
SUITE 200
MINNETONKA, MN
ZIP 55305
Phone: (952) 888-5800
Get Directions

MINNESOTA EYE CONSULTANTS, PA is an ophthalmology in Minnetonka, MN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MINNESOTA EYE CONSULTANTS, PA NPI is 1932173374. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10709 WAYZATA BLVD
SUITE 200
MINNETONKA, MN
ZIP 55305-509
Phone: (952) 888-5800
Fax: (763) 553-1137

The provider's authorized official is Brent L Wilde .
The authorized official title is President and has the following contact phone number (952) 567-6143.

The CLIA number assigned to this NPI record is 24D2169516 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 2/22/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementNo
2207W00000XOphthalmologyYes
3291U00000XClinical Medical LaboratoryMINNESOTANo
4332H00000XEyewear SupplierNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG8516OTHERMINNESOTARR MEDICARE GROUP NUMBER
2C02541MEDICARE PINMINNESOTA
324D2023185OTHERMINNESOTACLIA
41250440013MEDICARE NSCMINNESOTA
5680090400MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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