Minnesota Eye Consultants, Pa - Medicare in Bloomington, MN

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Minnesota Eye Consultants, Pa is a medicare enrolled "Ophthalmology" provider in Bloomington, Minnesota. Their current practice location is 9801 Dupont Ave S, Suite 200, Bloomington, Minnesota. You can reach out to their office (for appointments etc.) via phone at (952) 888-5800.

Minnesota Eye Consultants, Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Minnesota Eye Consultants, Pa is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1508839879.

Contact Information

Minnesota Eye Consultants, Pa
9801 Dupont Ave S, Suite 200,
Bloomington, MN 55431-3100
(952) 888-5800
(952) 884-2656

Map and Direction




Healthcare Provider's Profile

Full NameMinnesota Eye Consultants, Pa
TypeFacility
SpecialityOphthalmology
Location9801 Dupont Ave S, Bloomington, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508839879
  • Provider Enumeration Date: 02/08/2006
  • Last Update Date: 10/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284524539
  • Enrollment ID: O20040318001449

Medical Identifiers

Medical identifiers for Minnesota Eye Consultants, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508839879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WC0802XOptometrist - Corneal And Contact Management (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary
207WX0120XOphthalmology - Cornea And External Diseases Specialist (* (Not Available))Secondary
291U00000XClinical Medical Laboratory 24D2023179 (Minnesota)Secondary
332H00000XEyewear Supplier (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Minnesota Eye Consultants, Pa acts as a billing entity for following providers:
Provider NameOmar E Awad
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1619942174
PECOS PAC ID: 9830098755
Enrollment ID: I20040108000615
Provider NameAhmad M Fahmy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1598750929
PECOS PAC ID: 9931194792
Enrollment ID: I20040420000246
Provider NameDavid R Hardten
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508851387
PECOS PAC ID: 6204726565
Enrollment ID: I20040909001392
Provider NamePatrick J Riedel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1962497156
PECOS PAC ID: 2860469558
Enrollment ID: I20040913000863
Provider NameThomas W Samuelson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1265427918
PECOS PAC ID: 2668362922
Enrollment ID: I20041013000235
Provider NameWilliam J Lipham
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1528053717
PECOS PAC ID: 5496740532
Enrollment ID: I20041013000403
Provider NameBenjamin J Fogal
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730174822
PECOS PAC ID: 0244266856
Enrollment ID: I20050714000960
Provider NameSherman Winston Reeves
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1205882560
PECOS PAC ID: 1254363260
Enrollment ID: I20060509000805
Provider NameJohnna D Hobbs
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1437224276
PECOS PAC ID: 8426050139
Enrollment ID: I20070209000165
Provider NameMona M Fahmy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407047566
PECOS PAC ID: 2860586005
Enrollment ID: I20070919000700
Provider NameNoumia Cloutier-gill
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457508988
PECOS PAC ID: 1850459256
Enrollment ID: I20081028000685
Provider NameGina M Doeden
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1558350207
PECOS PAC ID: 0547303257
Enrollment ID: I20100203000513
Provider NameElizabeth A Davis
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1134114259
PECOS PAC ID: 8729073861
Enrollment ID: I20100504000487
Provider NameEugene O Gullingsrud
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1114994589
PECOS PAC ID: 2860433000
Enrollment ID: I20100514000164
Provider NameJill S Melicher Larson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1285788950
PECOS PAC ID: 4587736103
Enrollment ID: I20100928001713
Provider NameAlyson L Blakstad
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427043660
PECOS PAC ID: 5092904441
Enrollment ID: I20110115000013
Provider NameTara R Barth
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548499676
PECOS PAC ID: 7719159649
Enrollment ID: I20111018000638
Provider NameChristine L Larsen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1629230206
PECOS PAC ID: 4587824297
Enrollment ID: I20130717000324
Provider NameSonja E Iverson-hill
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1497194112
PECOS PAC ID: 6103069075
Enrollment ID: I20130823001176
Provider NameMark Spencer Hansen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1467787226
PECOS PAC ID: 5092958041
Enrollment ID: I20140617001067
Provider NameMark Roger Buboltz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1205249620
PECOS PAC ID: 9931323748
Enrollment ID: I20140618001231
Provider NameCharles Joseph Kopp
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1366855629
PECOS PAC ID: 9234353889
Enrollment ID: I20140623000003
Provider NameClara Choo
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760746028
PECOS PAC ID: 5597055848
Enrollment ID: I20160527001624
Provider NameKrista Jean Stewart
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1295077444
PECOS PAC ID: 2567767965
Enrollment ID: I20170612002934
Provider NameCristelle Elise Boots
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1699323162
PECOS PAC ID: 2668704446
Enrollment ID: I20210405001681
Provider NameChase A Liaboe
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1992237952
PECOS PAC ID: 8224386289
Enrollment ID: I20210601002149
Provider NameLorin C Larson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134702376
PECOS PAC ID: 6507268315
Enrollment ID: I20210715001253
Provider NameNicole Marie Bergman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275272593
PECOS PAC ID: 9638558968
Enrollment ID: I20220616002302
Provider NameMatthew Garrett Field
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1962060624
PECOS PAC ID: 0941535611
Enrollment ID: I20230516001778
Provider NameMark Daniel Larson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1831651868
PECOS PAC ID: 4082037999
Enrollment ID: I20230517002808
Provider NameKarina Marie Bement
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1952091654
PECOS PAC ID: 5991164592
Enrollment ID: I20230629002036
Provider NameNeda Tahvilian
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1053099796
PECOS PAC ID: 4284095076
Enrollment ID: I20230726001592

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Minnesota Eye Consultants, Pa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Minnesota Eye Consultants, Pa
9801 Dupont Ave S, Suite 425,
Bloomington, MN 55431-3100

Ph: (952) 888-5800		Minnesota Eye Consultants, Pa
9801 Dupont Ave S, Suite 200,
Bloomington, MN 55431-3100

Ph: (952) 888-5800

Reviews and Comments



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