CHARLES R MEAD NPI 1306161187

NPI Information

NPI: 1306161187
Provider Name: CHARLES R MEAD
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address: 1502 WOODLANE DR
WOODBURY, MN
ZIP 55125
Phone: (651) 735-9550

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NPI Details

CHARLES R MEAD is an optometrist in Woodbury, MN. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. CHARLES R MEAD NPI is 1306161187. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1502 WOODLANE DR
WOODBURY, MN
ZIP 55125-221
Phone: (651) 735-9550
Fax: (651) 735-9322

The provider's authorized official is Audrey Mead .
The authorized official title is Practice Manager and has the following contact phone number (651) 735-9550.

The enumeration date for this NPI number is 4/5/2010 and was last updated on 4/2/2018.

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	Primary
1	152W00000X	Optometrist		Yes
2	152WC0802X	Optometrist	Corneal and Contact Management	No
3	152WP0200X	Optometrist	Pediatrics	No
4	152WS0006X	Optometrist	Sports Vision	No
5	152WV0400X	Optometrist	Vision Therapy	No
6	156FX1202X	Technician/Technologist	Optometric Technician	No
7	156FX1800X	Technician/Technologist	Optician	No

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
1	97365062201	OTHER	MINNESOTA	PREFERREDONE
2	25841ME	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
3	568938300	MEDICAID	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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