OPHTHALMOLOGY PA NPI 1114921996

NPI Information

  • NPI: 1114921996
  • Provider Name: OPHTHALMOLOGY PA
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • :
  • Address: 3100 W 70TH ST
    EDINA, MN
    ZIP 55435
  • Phone: (952) 848-8300

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NPI Details

OPHTHALMOLOGY PA is an ophthalmology in Edina, 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. OPHTHALMOLOGY PA NPI is 1114921996. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3100 W 70TH ST
EDINA, MN
ZIP 55435-227
Phone: (952) 848-8300
Fax: (952) 848-8313

The provider's authorized official is Jessica Louise Berg .
The authorized official title is Business Office and has the following contact phone number (952) 848-8383.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 5/5/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier0026007MINNESOTANo
2207W00000XOphthalmology0026007MINNESOTAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CP4332OTHERMINNESOTARAILROAD MEDICARE
2130790POTHERMINNESOTABLUE SHIELD OF MINNESOTA
3156OTHERMINNESOTAHEALTH PARTNERS
4585010000MEDICAIDMINNESOTA
5D044OTHERMINNESOTAUCARE MINNESOTA

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: 11/21/2025

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