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DR. XUANMAI THI TA O.D.
NPI 1003954033
Optometrist in Minneapolis, MN

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
2718 NICOLLET AVE, SUITE NO. 103, MINNEAPOLIS, MN 55408(612) 871-1518(612) 871-2585 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Xuanmai Thi Ta O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. XUANMAI THI TA O.D. (NPI 1003954033) is an individual optometrist in Minneapolis, Minnesota, licensed in Minnesota (T2107) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1987).

NPPES Registry Identity

NPI1003954033
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. XUANMAI THI TACredential: O.D.
Location Address2718 NICOLLET AVE, SUITE NO. 103Minneapolis, MN 55408-1648
Mailing Address12167 Cartway CurvEden Prairie, MN 55347-4254 · (612) 871-1518 · Fax (612) 871-2525
Phone(612) 871-1518
Fax(612) 871-2585
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1987
Enumeration DateFebruary 2, 2007
Last NPPES UpdateMarch 13, 2008
✔ NPI 1003954033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · T2107
Definition
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.
2718 NICOLLET AVE, Minneapolis, MN 55408
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Other Identifiers 1

Medicare UPINT97995MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Xuanmai Thi Ta O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173516010
PECOS Enrollment IDI20040406001068
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROYAL HEALTH SERVICE INC
Home Health
2718 NICOLLET AVE
MINNEAPOLIS, MN 55408
Hennepin County (612) 987-1120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Xuanmai Ta's NPI number?

The NPI number for Xuanmai Ta is 1003954033. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Xuanmai Ta located?

Xuanmai Ta practices at 2718 Nicollet Ave Suite No. 103, Minneapolis, MN 55408. The listed phone number is (612) 871-1518.

What is Xuanmai Ta's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Xuanmai Ta enrolled in Medicare?

Yes. Xuanmai Ta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Xuanmai Ta accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and HealthPartners and 1 other insurer list Xuanmai Ta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Xuanmai Ta was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.