Eagan Eye Clinic Llc - Medicare Optometrist in Eagan, MN

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Eagan Eye Clinic Llc is a medicare enrolled "Optometrist" provider in Eagan, Minnesota. Their current practice location is 3930 Cedar Grove Pkwy, Eagan, Minnesota. You can reach out to their office (for appointments etc.) via phone at (651) 454-5661.

Eagan Eye Clinic Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Eagan Eye Clinic Llc 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 1477732337.

Contact Information

Eagan Eye Clinic Llc
3930 Cedar Grove Pkwy,
Eagan, MN 55122-1403
(651) 454-5661
(651) 454-5669

Map and Direction




Healthcare Provider's Profile

Full NameEagan Eye Clinic Llc
TypeFacility
SpecialityOptometrist
Location3930 Cedar Grove Pkwy, Eagan, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477732337
  • Provider Enumeration Date: 10/29/2007
  • Last Update Date: 07/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0345220745
  • Enrollment ID: O20040726000300

Medical Identifiers

Medical identifiers for Eagan Eye Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477732337NPI-NPPES
271775100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eagan Eye Clinic Llc acts as a billing entity for following providers:
Provider NameScott T Fontana
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1922195635
PECOS PAC ID: 6406751528
Enrollment ID: I20031203000139
Provider NameSarah J Jerome
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1528049459
PECOS PAC ID: 1254233760
Enrollment ID: I20040124000179
Provider NameAnna C Malikowski
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073575098
PECOS PAC ID: 1658363320
Enrollment ID: I20040401000914
Provider NameBrian D Grudem
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194717298
PECOS PAC ID: 6901893460
Enrollment ID: I20040429000067
Provider NameKevin D Lucas
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407848427
PECOS PAC ID: 0941297139
Enrollment ID: I20040429000107
Provider NamePatrick J Wellik
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588637078
PECOS PAC ID: 3072501238
Enrollment ID: I20040505000798
Provider NameKimberly H Watson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295713303
PECOS PAC ID: 1658353891
Enrollment ID: I20040609001261
Provider NameBenjamin E Stout
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265437792
PECOS PAC ID: 9638159031
Enrollment ID: I20040726000348
Provider NameChristie J Russell-villnow
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1538279575
PECOS PAC ID: 5395704910
Enrollment ID: I20041007000691
Provider NameRodney A Melgard
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710922679
PECOS PAC ID: 6709823297
Enrollment ID: I20050415000580
Provider NameMichael D Sufka
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1083601165
PECOS PAC ID: 1153352828
Enrollment ID: I20050823000790
Provider NameWarren J Stoltman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811939838
PECOS PAC ID: 0042243313
Enrollment ID: I20050916000311
Provider NameMary J Femrite
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1598750952
PECOS PAC ID: 1456368448
Enrollment ID: I20060413000036
Provider NameTrent D Cole
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700847035
PECOS PAC ID: 3779680434
Enrollment ID: I20070515000372
Provider NameKristi Iverson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669407581
PECOS PAC ID: 2466551239
Enrollment ID: I20070619000541
Provider NameRafe Garofalo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639102114
PECOS PAC ID: 6901905777
Enrollment ID: I20070619000566
Provider NameBennett W Nelson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063571305
PECOS PAC ID: 7911003678
Enrollment ID: I20070912000461
Provider NameEric J Thiem
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154363158
PECOS PAC ID: 3476505264
Enrollment ID: I20080214000200
Provider NameKrista M Davis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942378468
PECOS PAC ID: 1557435468
Enrollment ID: I20080811000176
Provider NameGreg Friederichs
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1518955939
PECOS PAC ID: 2163426867
Enrollment ID: I20100712000731
Provider NameJeremy R Anderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1205991692
PECOS PAC ID: 4082714647
Enrollment ID: I20100819001099
Provider NameMelissa K Hoven
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1346305737
PECOS PAC ID: 9436283868
Enrollment ID: I20100819001141
Provider NameJohn D Hoven
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1356404032
PECOS PAC ID: 8729188388
Enrollment ID: I20100819001194
Provider NameCarie L Stotesbery
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1285715904
PECOS PAC ID: 6800089780
Enrollment ID: I20101023000280
Provider NameEric S Vonholdt
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235364373
PECOS PAC ID: 9739234105
Enrollment ID: I20110131000365
Provider NameAnnika Anderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1932497278
PECOS PAC ID: 8123299617
Enrollment ID: I20110913000553
Provider NameErin E Carlson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174528608
PECOS PAC ID: 3678749652
Enrollment ID: I20111221000378
Provider NameBrad E Schwantke
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700115409
PECOS PAC ID: 7618135799
Enrollment ID: I20120221000255
Provider NameSavannah J Johnson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962737049
PECOS PAC ID: 8921251430
Enrollment ID: I20130114000042
Provider NameMichael S Petronack
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295891596
PECOS PAC ID: 8022257633
Enrollment ID: I20130611000758
Provider NameMatthew Kyle Anderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326488008
PECOS PAC ID: 3678709565
Enrollment ID: I20131125000606
Provider NameAndrea H Vanmeter
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1518221225
PECOS PAC ID: 1850528209
Enrollment ID: I20131211000495
Provider NameBrenna J Kitzmann
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154798999
PECOS PAC ID: 3476869579
Enrollment ID: I20150904000000
Provider NameJoseph J Allen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023390499
PECOS PAC ID: 9032401997
Enrollment ID: I20160713001619
Provider NameCasey W Bateman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1720439466
PECOS PAC ID: 7113213265
Enrollment ID: I20160915001839
Provider NameShalon A Ronning
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770010613
PECOS PAC ID: 1052688652
Enrollment ID: I20170602001136
Provider NameBrittany E Radke
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780022210
PECOS PAC ID: 6204060635
Enrollment ID: I20180329001125
Provider NameDeanna Lynn Sell
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1598324014
PECOS PAC ID: 4486989480
Enrollment ID: I20190712002333
Provider NameAlexander W Paradis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780245696
PECOS PAC ID: 0244567808
Enrollment ID: I20190806001657
Provider NameKelsey J Moore
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154844017
PECOS PAC ID: 1759711120
Enrollment ID: I20200427000837
Provider NameMatthew Calvin Anderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1225664592
PECOS PAC ID: 2860811098
Enrollment ID: I20201007001685
Provider NameTaylor Lauermann
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1083238836
PECOS PAC ID: 8527488121
Enrollment ID: I20201021000572
Provider NameStephanie Norberg Enderle
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1205321148
PECOS PAC ID: 9234543083
Enrollment ID: I20210206000124
Provider NameMaggie King
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275192874
PECOS PAC ID: 5991105439
Enrollment ID: I20210621001620
Provider NameKaitlyn Marshall
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316574478
PECOS PAC ID: 4587064845
Enrollment ID: I20210623000780
Provider NameCalli D Toler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164007670
PECOS PAC ID: 5496156846
Enrollment ID: I20210623002275
Provider NameAlexander Brandon Austing
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588233639
PECOS PAC ID: 8527465996
Enrollment ID: I20210928001238
Provider NameCody M Benedict
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376146373
PECOS PAC ID: 6507278132
Enrollment ID: I20220324000673
Provider NameCourtney Duberry
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821602756
PECOS PAC ID: 3476958463
Enrollment ID: I20220419000697
Provider NameKim T Nguyen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1235568049
PECOS PAC ID: 4183925043
Enrollment ID: I20220520001554
Provider NameJennifer Gipp
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154520666
PECOS PAC ID: 8729189899
Enrollment ID: I20220918000046
Provider NameCassandra Lappegaard
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962742627
PECOS PAC ID: 3779727995
Enrollment ID: I20220918000048
Provider NameTania Malara
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1003966839
PECOS PAC ID: 6507965589
Enrollment ID: I20230130001659
Provider NameBrian Lewy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750379087
PECOS PAC ID: 5597089011
Enrollment ID: I20230407000094
Provider NameAmanda H Mcmullen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124506852
PECOS PAC ID: 4981001328
Enrollment ID: I20230516002570
Provider NameJordan Kain Stidham
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578016184
PECOS PAC ID: 7012374408
Enrollment ID: I20230530002235
Provider NameLanette M Green
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578607958
PECOS PAC ID: 7012070824
Enrollment ID: I20230602000480
Provider NameMalay M Pansheria
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821471657
PECOS PAC ID: 4082904214
Enrollment ID: I20230614000527
Provider NameVrajika Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588282156
PECOS PAC ID: 7315362217
Enrollment ID: I20230703000049
Provider NamePamela Marie Marzec
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134472996
PECOS PAC ID: 5092958942
Enrollment ID: I20230913002056
Provider NameDana Hobi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619590403
PECOS PAC ID: 3779966551
Enrollment ID: I20231002001145
Provider NameMehwish Ali
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548736754
PECOS PAC ID: 5092169573
Enrollment ID: I20231024003756
Provider NameJodi Naik
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1831853563
PECOS PAC ID: 6002200482
Enrollment ID: I20231130002214
Provider NameGrace Kehoe
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013589290
PECOS PAC ID: 8325423007
Enrollment ID: I20240814003919
Provider NameMichelle Penshorn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1689980161
PECOS PAC ID: 8426463399
Enrollment ID: I20241010002016
Provider NameBenet Friederichs
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1720820624
PECOS PAC ID: 5799223301
Enrollment ID: I20241016002898
Provider NameFranklin Alexander
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134955933
PECOS PAC ID: 0143742544
Enrollment ID: I20250314001204
Provider NameMichelle H Pedersen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912990425
PECOS PAC ID: 9931231602
Enrollment ID: I20250513002382

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. Eagan Eye Clinic Llc 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
Eagan Eye Clinic Llc
3930 Cedar Grove Pkwy,
Eagan, MN 55122-1403

Ph: (651) 454-5661		Eagan Eye Clinic Llc
3930 Cedar Grove Pkwy,
Eagan, MN 55122-1403

Ph: (651) 454-5661

Reviews and Comments


Optometrist in Eagan, MN

Steven Jay Lusch, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Duckwood Dr, Suite 14, Eagan, MN 55123
Phone: 651-452-0344    Fax: 651-452-1564
National Vision Inc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1278 Town Centre Dr Ste 155, Eagan, MN 55123
Phone: 612-851-0208    Fax: 651-686-2940
Mrs. Emily Kay Bjore, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 855 Vikings Pkwy Ste B, Eagan, MN 55121
Phone: 651-280-4420    Fax: 651-280-4155
Dr. Erin Carlson, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3930 Cedar Grove Pkwy, Eagan, MN 55122
Phone: 651-454-5661    Fax: 651-454-5669
Steel Optical Inc Professional Corporation
Optometrist
Medicare: Medicare Enrolled
Practice Location: 995 Blue Gentian Rd, Eagan, MN 55121
Phone: 626-272-5693    
Family Vision Of Minnesota Pllc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 995 Blue Gentian Rd, Eagan, MN 55121
Phone: 612-439-8075    
Dr. Benjamin Stout, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3930 Cedar Grove Pkwy, Eagan, MN 55122
Phone: 651-454-5661    Fax: 651-454-5669

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.