DR. JONATHAN PRIBILA MD PHD NPI 1407974561

NPI Information

  • NPI: 1407974561
  • Provider Name: DR. JONATHAN PRIBILA, MD, PHD
  • Classification: Ophthalmology - 207WX0110X
  • Specialization: Pediatric Ophthalmology and Strabismus Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3900 PARK NICOLLET BLVD
    ST LOUIS PARK, MN
    ZIP 55416
  • Phone: (952) 993-3150

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NPI Details

DR. Jonathan Pribila, MD, PHD is a pediatric ophthalmology and strabismus specialist ophthalmology in St Louis Park, MN with 21 years of experience. The provider is an ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. DR. Jonathan Pribila, MD, PHD NPI is 1407974561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2005

The provider's business location address is:

3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN
ZIP 55416-503
Phone: (952) 993-3150
Fax: (952) 993-0288

The NPI 1407974561 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Exam to measure eye deviation and range of motion (HCPCS:92060)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 3/27/2007 and was last updated on 3/11/2021.

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
1207W00000XOphthalmology52517MINNESOTANo
2207WX0110XOphthalmologyPediatric Ophthalmology and Strabismus Specialist52517MINNESOTAYes

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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