BLAINE EYE CLINIC
NPI 1043363401
Durable Medical Equipment & Medical Supplies in Blaine, MN
About Blaine Eye Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAINE EYE CLINIC (NPI 1043363401) is a healthcare organization registered as a durable medical equipment & medical supplies in Blaine, Minnesota and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Lynn Alan Sulerud, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 5
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2228198
Blaine Eye Clinic · Blaine, MNMedical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Blaine Eye Clinic carries, from the Medicare DMEPOS supplier directory.
Blaine Eye Clinic
DMEPOS supplier · Blaine, MNOperated by Blaine Eye Clinic Optometrists, P.A.Accepts Medicare assignment
Blaine Eye Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Blaine Eye Clinic Optometrists, P.A.'s NPI number?
The NPI number for Blaine Eye Clinic Optometrists, P.A. is 1043363401. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Blaine Eye Clinic.
Where is Blaine Eye Clinic Optometrists, P.A. located?
Blaine Eye Clinic Optometrists, P.A. is located at 12170 Aberdeen St NE, Blaine, MN 55449. The listed phone number is (763) 757-7000.
What is Blaine Eye Clinic Optometrists, P.A.'s specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
Does Blaine Eye Clinic Optometrists, P.A. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Blaine Eye Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Blaine Eye Clinic Optometrists, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2228198) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Blaine Eye Clinic Optometrists, P.A. accept?
Health plans from HealthPartners and Medica list Blaine Eye Clinic Optometrists, P.A. 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 Blaine Eye Clinic Optometrists, P.A. was last updated on February 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Blaine Eye Clinic · NPI 1043363401
Durable Medical Equipment & Medical Supplies organization in Blaine, Minnesota. Organization record, active in the CMS NPPES registry since January 19, 2007.
## Identity
- **NPI:** 1043363401 (Entity type: Organization)
- **Enumerated:** January 19, 2007
- **Primary specialty:** Durable Medical Equipment & Medical Supplies · taxonomy 332B00000X
- **Legal business name:** Blaine Eye Clinic Optometrists, P.a.
- **Organization subpart:** No
- **Authorized official:** Lynn Sulerud, OWNER
## Practice location
- **Address:** 12170 ABERDEEN ST NE, Blaine, MN 55449-4716
- **Phone:** (763) 757-7000 · **Fax:** (763) 757-3328
## Record status
- **NPPES last updated:** February 15, 2011
- **Other identifiers:** Medicaid 221526800 (MN); Medicare PIN 1043363401 (MN); Medicare UPIN T66186 (MN); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043363401) · Data from the CMS NPPES public registry.