CROOKSTON EYE CLINIC, P.C.
NPI 1063550457
Optometrist in Crookston, MN

Active since February 01, 2007
216 S MAIN ST, CROOKSTON, MN 56716(218) 281-2020(218) 281-5997 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crookston Eye Clinic, P.c. NPPES

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

CROOKSTON EYE CLINIC, P.C. (NPI 1063550457) is a healthcare organization registered as an optometrist in Crookston, Minnesota and active in the NPI registry since February 2007. The organization lists Kari J Miller, Owner Operator Optomotrist, as its authorized official.

NPPES Registry Identity

NPI1063550457
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCROOKSTON EYE CLINIC, P.C.
Location Address216 S MAIN STCrookston, MN 56716-1939
Mailing Address216 S Main StCrookston, MN 56716-1939 · (218) 281-2020 · Fax (218) 281-5997
Fax(218) 281-5997
Organization SubpartNo
Authorized OfficialKari J MillerOwner Operator Optomotrist · (218) 281-2020
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMarch 4, 2008
NPI 1063550457 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 · 2368
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.
216 S MAIN ST, Crookston, MN 56716

Other Identifiers 3

Medicaid438992100MN
Medicare NSC4690650001MN
Medicare PINC03189MN

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 SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Crookston Eye Clinic carries, from the Medicare DMEPOS supplier directory.

Crookston Eye Clinic

DMEPOS supplier · Crookston, MNOperated by Agassiz Optometry Associates PC

Accepts Medicare assignment

Crookston 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.

PTAN (Medicare Supplier Number)20520725
Medicare Participant SinceJuly 1, 2012
Supplier Location216 S Main StCrookston, MN 56716
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 3

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

Optometrist
216 S MAIN ST
CROOKSTON, MN 56716
Optometrist
216 S MAIN ST
CROOKSTON, MN 56716
Optometrist
216 S MAIN ST
CROOKSTON, MN 56716

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 Crookston Eye Clinic, P.C.'s NPI number?

The NPI number for Crookston Eye Clinic, P.C. is 1063550457. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Crookston Eye Clinic, P.C. located?

Crookston Eye Clinic, P.C. is located at 216 S Main St, Crookston, MN 56716. The listed phone number is (218) 281-2020.

What is Crookston Eye Clinic, P.C.'s specialty?

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

Does Crookston Eye Clinic, P.C. accept Medicare assignment for medical equipment?

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

When was this NPI record last updated?

The NPPES record for Crookston Eye Clinic, P.C. was last updated on March 4, 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.