PINECONE VISION CENTER NPI 1467836650

NPI Information

  • NPI: 1467836650
  • Provider Name: PINECONE VISION CENTER
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • CLIA Number: 24D1054445
  • Address: 2180 TROOP DRIVE
    SARTELL, MN
    ZIP 56377
  • Phone: (320) 258-3915

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NPI Details

PINECONE VISION CENTER is an optometrist in Sartell, 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. PINECONE VISION CENTER NPI is 1467836650. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2180 TROOP DRIVE
SARTELL, MN
ZIP 56377-563
Phone: (320) 258-3915
Fax: (320) 258-3917

The provider's authorized official is Chrissy Henry .
The authorized official title is Business Office Manager and has the following contact phone number (320) 258-3915.

The CLIA number assigned to this NPI record is 24D1054445 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 7/17/2015.

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
1152WC0802XOptometristCorneal and Contact ManagementNo
2152WL0500XOptometristLow Vision RehabilitationNo
3152WP0200XOptometristPediatricsNo
4152W00000XOptometristYes

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
1C03484MEDICARE PINMINNESOTA

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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