JOHN MUELLER OD PC
NPI 1073117768
Optometrist in Plymouth, MN

Q: What is John Mueller Od PC's NPI number?

The NPI number for John Mueller Od PC is 1073117768. It was assigned to this organization in the NPPES registry on November 24, 2020.

Q: What is John Mueller Od PC's specialty?

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

Active since November 24, 2020

4190 VINEWOOD LN N STE 109, PLYMOUTH, MN 55442(763) 559-5522(763) 559-7122 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About John Mueller Od Pc NPPES

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

JOHN MUELLER OD PC (NPI 1073117768) is a healthcare organization registered as an optometrist in Plymouth, Minnesota and active in the NPI registry since November 2020. The organization lists John Robert Mueller, Od/president, as its authorized official.

NPPES Registry Identity

NPI1073117768

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJOHN MUELLER OD PC

Location Address4190 VINEWOOD LN N STE 109Plymouth, MN 55442-1771

Mailing Address4190 Vinewood Ln N Ste 109Plymouth, MN 55442-1771 · (763) 559-5522 · Fax (763) 559-7122

Phone(763) 559-5522

Fax(763) 559-7122

Organization SubpartNo

Authorized OfficialJohn Robert MuellerOd/president · (920) 645-3339

Enumeration DateNovember 24, 2020

NPPES CertifiedNovember 24, 2020

✔ NPI 1073117768 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.

4190 VINEWOOD LN N STE 109, Plymouth, MN 55442

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Mueller Od Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to John Mueller Od PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Mueller

Optometry

NPI 1659728756

13195 WEAVER LAKE RD
Maple Grove, MN 55369

(763) 420-5112

✔ PECOS✔ Accepts Medicare5.1 mi

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

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 John Mueller Od PC's NPI number?

The NPI number for John Mueller Od PC is 1073117768. It was assigned to this organization in the NPPES registry on November 24, 2020.

Where is John Mueller Od PC located?

John Mueller Od PC is located at 4190 Vinewood Ln N Ste 109, Plymouth, MN 55442. The listed phone number is (763) 559-5522.

What is John Mueller Od PC's specialty?

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

Is John Mueller Od PC enrolled in Medicare?

Yes. John Mueller Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John Mueller Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to John Mueller Od PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does John Mueller Od PC accept?

Health plans from HealthPartners list John Mueller Od PC 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 John Mueller Od PC was last updated on November 24, 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.