ST CROIX VISION CENTER INC. NPI 1518059526

NPI Information

  • NPI: 1518059526
  • Provider Name: ST CROIX VISION CENTER INC.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Address: 13481 60TH ST N
    SUITE 200
    STILLWATER, MN
    ZIP 55082
  • Phone: (651) 439-6400

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NPI Details

ST CROIX VISION CENTER INC. is an optometrist in Stillwater, 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. ST CROIX VISION CENTER INC. NPI is 1518059526. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13481 60TH ST N
SUITE 200
STILLWATER, MN
ZIP 55082-055
Phone: (651) 439-6400
Fax: (651) 439-6405

The provider's authorized official is Travis Matthew Johnson .
The authorized official title is President and has the following contact phone number (651) 439-6400.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/16/2012.

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 ManagementLD2763000MINNESOTANo
2152WP0200XOptometristPediatricsLD2763000No
3152WV0400XOptometristVision TherapyLD2763000MINNESOTANo
4152W00000XOptometristLD2763000MINNESOTAYes

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
1108J4JOOTHERMINNESOTABLUE CROSS BLUE SHEILD GR
2904623200MEDICAIDMINNESOTA
3U78226MEDICARE UPINMINNESOTA
4410001714MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAWPS MEDICARE NUMBER

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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