Spectacle Shoppe Inc. - Medicare Optometrist in New Brighton, MN

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Spectacle Shoppe Inc. is a medicare enrolled "Optometrist" provider in New Brighton, Minnesota. Their current practice location is 2050 Silver Lake Rd Nw, New Brighton, Minnesota. You can reach out to their office (for appointments etc.) via phone at (651) 636-3434.

Spectacle Shoppe Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Spectacle Shoppe Inc. 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 1588700157.

Contact Information

Spectacle Shoppe Inc.
2050 Silver Lake Rd Nw,
New Brighton, MN 55112-5301
(651) 636-3434
(651) 636-4999

Map and Direction




Healthcare Provider's Profile

Full NameSpectacle Shoppe Inc.
TypeFacility
SpecialityOptometrist
Location2050 Silver Lake Rd Nw, New Brighton, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588700157
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 03/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1153447453
  • Enrollment ID: O20100923001128

Medical Identifiers

Medical identifiers for Spectacle Shoppe Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588700157NPI-NPPES
3C44OSPOtherMNBCBS
40747OtherMNPREFERRED ONE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary
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. Spectacle Shoppe Inc. acts as a billing entity for following providers:
Provider NameJames K Brekke
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134291487
PECOS PAC ID: 3678467891
Enrollment ID: I20040210000235
Provider NameTimothy J Nelson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215091616
PECOS PAC ID: 8628060548
Enrollment ID: I20040331001560
Provider NameMichael Krysiak
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629112198
PECOS PAC ID: 8123240728
Enrollment ID: I20141115000031
Provider NameAngella Lynn Schaefer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073900718
PECOS PAC ID: 7618280710
Enrollment ID: I20170419003003
Provider NameTyler K Baars
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861747305
PECOS PAC ID: 2668608191
Enrollment ID: I20170713003526
Provider NameLee W Schneider
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1598114530
PECOS PAC ID: 6406115419
Enrollment ID: I20180122000358
Provider NameWing Man Yip
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114373560
PECOS PAC ID: 3779873690
Enrollment ID: I20180608001118
Provider NameJacob A Erickson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700370749
PECOS PAC ID: 5890043822
Enrollment ID: I20180807002079

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. Spectacle Shoppe Inc. 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
Spectacle Shoppe Inc.
2050 Silver Lk Rd,
New Brighton, MN 55112

Ph: (651) 636-3434		Spectacle Shoppe Inc.
2050 Silver Lake Rd Nw,
New Brighton, MN 55112-5301

Ph: (651) 636-3434

Reviews and Comments


Optometrist in New Brighton, MN

Mr. John Mark Cavanagh, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112
Phone: 651-636-2020    Fax: 651-633-5036
Dr. David H. Hess, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2202 Rockstone Ln, New Brighton, MN 55112
Phone: 952-484-2040    
Academy Contact Lens Clinic
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2655 Innsbruck Dr, Suite B, New Brighton, MN 55112
Phone: 651-636-2020    Fax: 651-633-5036

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.