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DR. ANDREW MATTSON O.D. NPI 1518037563


NPI Information

NPI: 1518037563
Provider Name: DR. ANDREW MATTSON, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
17690 KENWOOD TRL
LAKEVILLE, MN
ZIP 55044
Phone: (952) 898-9588
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DR. Andrew Mattson, O.D. is an optometrist in Lakeville, MN with 23 years of experience. 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. DR. Andrew Mattson, O.D. NPI is 1518037563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:2001

The provider's business location address is:

17690 KENWOOD TRL
LAKEVILLE, MN
ZIP 55044-764
Phone: (952) 898-9588
Fax: (952) 898-2030

The NPI 1518037563 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).

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.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Diagnostic imaging of retina (HCPCS:92134)
  • Photography of the retina (HCPCS:92250)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 11/8/2006 and was last updated on 6/2/2011.


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 ManagementLD 2823000MINNESOTANo
2152WP0200XOptometristPediatricsLD 2823000MINNESOTANo
3152WX0102XOptometristOccupational VisionLD 2823000MINNESOTANo
4152W00000XOptometristLD 2823000MINNESOTAYes

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
1U94351MEDICARE UPINMINNESOTA
222-03175OTHERMINNESOTAMEDICA
3410002525MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE PROVIDER NUMBER
4202779692OTHERMINNESOTAAETNA
5176625200MEDICAIDMINNESOTA
6A61971031584OTHERMINNESOTAPREFERRED ONE
722-03175OTHERMINNESOTAUNITED HEALTH CARE
879G34LAOTHERMINNESOTABLUE PLUS
9202779692OTHERMINNESOTAWASSAU BENEFITS PC CBSA
10HP36326OTHERMINNESOTAHEALTH PARTNERS
11500R7MAOTHERMINNESOTABLUE CROSS BLUE SHIELD MN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.