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MRS. EMILY KAY BJORE O.D.
NPI 1053696104
Optometrist in Eagan, MN

Active since October 19, 2011PECOS EnrolledAccepts Medicare Assignment
855 VIKINGS PKWY STE B, EAGAN, MN 55121(651) 280-4420(651) 280-4155 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Emily Kay Bjore O.d. NPPES

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

MRS. EMILY KAY BJORE O.D. (NPI 1053696104) is an individual optometrist in Eagan, Minnesota, licensed in Minnesota (3375) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2014).

NPPES Registry Identity

NPI1053696104
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. EMILY KAY BJORECredential: O.D.
Location Address855 VIKINGS PKWY STE BEagan, MN 55121-1187
Mailing Address855 Vikings Pkwy Ste BEagan, MN 55121-1187 · (651) 280-4420 · Fax (651) 280-4155
Phone(651) 280-4420
Fax(651) 280-4155
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2014
Enumeration DateOctober 19, 2011
Last NPPES UpdateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1053696104 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 · 3375
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.
855 VIKINGS PKWY STE B, Eagan, MN 55121
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Emily Kay Bjore 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 ID2668692641
PECOS Enrollment IDI20140926000602
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.

Medicare Billing Reassignment

Medicare enrollment records show Emily Bjore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Lakes Eye Care, PLLC
Same address
Optometrist
855 VIKINGS PKWY STE B
Eagan, MN 55121
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Viking Lakes Eye Care
  • 2 clinicians in this Medicare group
NPI 1457186850 (651) 280-4420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
28 services28 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
28 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55121 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 2

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

ROBERT WILBERT HEGERMAN JR. O.D.
Optometrist
855 VIKINGS PKWY STE B
EAGAN, MN 55121
Dakota County (651) 280-4420
BLUE LAKES EYE CARE, PLLC
Optometrist
855 VIKINGS PKWY STE B
EAGAN, MN 55121
Dakota County (651) 280-4420

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 Emily Bjore's NPI number?

The NPI number for Emily Bjore is 1053696104. It was assigned to this individual provider in the NPPES registry on October 19, 2011.

Where is Emily Bjore located?

Emily Bjore practices at 855 Vikings Pkwy Ste B, Eagan, MN 55121. The listed phone number is (651) 280-4420.

What is Emily Bjore's specialty?

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

Is Emily Bjore enrolled in Medicare?

Yes. Emily Bjore 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.

Which organization bills Medicare for Emily Bjore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Bjore reassigns Medicare benefits to Blue Lakes Eye Care, PLLC (Eagan, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Bjore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Bjore accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Emily Bjore 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 Emily Bjore was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.