ELK RIVER EYE CLINIC, P.A.
NPI 1063457943
Optometrist in Elk River, MN

Active since June 17, 2006
19022 FREEPORT AVE NW, SUITE H, ELK RIVER, MN 55330(763) 441-1055(763) 441-7024 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elk River Eye Clinic, P.a. NPPES

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

ELK RIVER EYE CLINIC, P.A. (NPI 1063457943) is a healthcare organization registered as an optometrist in Elk River, Minnesota and active in the NPI registry since June 2006. The organization lists Gary Mark Hoffard, President, as its authorized official.

NPPES Registry Identity

NPI1063457943
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameELK RIVER EYE CLINIC, P.A.
Location Address19022 FREEPORT AVE NW, SUITE HElk River, MN 55330-4767
Mailing Address19022 Freeport Ave Nw, Suite HElk River, MN 55330-4767 · (763) 441-1055 · Fax (763) 441-7024
Fax(763) 441-7024
Organization SubpartNo
Authorized OfficialGary Mark HoffardPresident · (763) 441-1055
Enumeration DateJune 17, 2006
Last NPPES UpdateAugust 6, 2010
NPI 1063457943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
19022 FREEPORT AVE NW, Elk River, MN 55330

Other Identifiers 11

Other98-22038MN · Medica Clinic Number
Medicare PINC03088MN
Other96458MN · Preferred One
Other115815MN · Ucare
Other52390HOMN · Bcbs
Medicaid379314100MN
Medicare NSC4500610001MN
Other21-15856MN · Medica Optical
Other5C159ELMN · Bcbs Materials
OtherCJ6982MN · Railroad Medicare
Other81961MN · Health Partners

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

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Elk River Eye Clinic PA carries, from the Medicare DMEPOS supplier directory.

Elk River Eye Clinic PA

DMEPOS supplier · Elk River, MN

Accepts Medicare assignment

Elk River Eye Clinic PA 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.

PTAN (Medicare Supplier Number)20608961
Medicare Participant SinceJanuary 1, 2002
Supplier Location19022 Freeport Ave NW Ste HElk River, MN 55330
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Optometrist
19022 FREEPORT AVE NW, SUITE H
ELK RIVER, MN 55330
Optometrist
19022 FREEPORT AVE NW
ELK RIVER, MN 55330

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 Elk River Eye Clinic, P.A.'s NPI number?

The NPI number for Elk River Eye Clinic, P.A. is 1063457943. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Elk River Eye Clinic, P.A. located?

Elk River Eye Clinic, P.A. is located at 19022 Freeport Ave NW Suite H, Elk River, MN 55330. The listed phone number is (763) 441-1055.

What is Elk River Eye Clinic, P.A.'s specialty?

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

Does Elk River Eye Clinic, P.A. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Elk River Eye Clinic PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Elk River Eye Clinic, P.A. accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee, HealthPartners and Medica list Elk River Eye Clinic, 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 Elk River Eye Clinic, P.A. was last updated on August 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.