EAGAN EYE CLINIC LLC
NPI 1023615069
Optometrist in Becker, MN

Q: What is Eagan Eye Clinic LLC's NPI number?

The NPI number for Eagan Eye Clinic LLC is 1023615069. It was assigned to this organization in the NPPES registry on October 2, 2020.

Q: What is Eagan Eye Clinic LLC's specialty?

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

Active since October 02, 2020

12390 SHERBURNE AVE, BECKER, MN 55308(632) 441-7007 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eagan Eye Clinic Llc NPPES

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

EAGAN EYE CLINIC LLC (NPI 1023615069) is a healthcare organization registered as an optometrist in Becker, Minnesota and active in the NPI registry since October 2020. The organization lists Benjamin S. Chudner, President, as its authorized official.

NPPES Registry Identity

NPI1023615069

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameEAGAN EYE CLINIC LLC

Location Address12390 SHERBURNE AVEBecker, MN 55308-9147

Mailing Address211 E BroadwayAlton, IL 62002-6220 · (618) 462-9818

Phone(632) 441-7007

Organization SubpartYes

Authorized OfficialBenjamin S. ChudnerPresident · (972) 370-5552

Enumeration DateOctober 2, 2020

NPPES CertifiedOctober 2, 2020

✔ NPI 1023615069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

12390 SHERBURNE AVE, Becker, MN 55308

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Eagan Eye Clinic LLC's NPI number?

The NPI number for Eagan Eye Clinic LLC is 1023615069. It was assigned to this organization in the NPPES registry on October 2, 2020.

Where is Eagan Eye Clinic LLC located?

Eagan Eye Clinic LLC is located at 12390 Sherburne Ave, Becker, MN 55308. The listed phone number is (632) 441-7007.

What is Eagan Eye Clinic LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Eagan Eye Clinic LLC was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.