SUNDELL EYE ASSOCIATES, PA
NPI 1093027112
Ophthalmology in Virginia, MN

Active since July 06, 2010CLIA 24D2111608 · Waiver
602 N 6TH AVE, VIRGINIA, MN 55792(218) 741-4411(218) 741-8966 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 29, 2023, Mar 9, 2020 (2 updates tracked since 2020).

About Sundell Eye Associates, Pa NPPES

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

SUNDELL EYE ASSOCIATES, PA (NPI 1093027112) is a healthcare organization registered as an ophthalmology in Virginia, Minnesota and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Bridget Ann Sundell, Owner, as its authorized official.

NPPES Registry Identity

NPI1093027112
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSUNDELL EYE ASSOCIATES, PA
Location Address602 N 6TH AVEVirginia, MN 55792-2339
Mailing Address602 N 6th AveVirginia, MN 55792-2339 · (218) 741-4411 · Fax (218) 741-8966
Fax(218) 741-8966
Organization SubpartNo
Authorized OfficialBridget Ann SundellOwner · (218) 741-4411
Enumeration DateJuly 6, 2010
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1093027112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
602 N 6TH AVE, Virginia, MN 55792

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sundell Eye Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sundell Eye Associates, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Ophthalmology
NPI 1871691295
602 N 6TH AVE W
Virginia, MN 55792
(218) 741-4111
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1770508426
11 NW FIRST AVE
Chisholm, MN 55719
(218) 254-4393
✔ PECOS✔ Accepts Medicare16 mi
Optometry
NPI 1568235489
9801 DUPONT AVE S STE 200
Bloomington, MN 55431
(952) 888-5800
✔ PECOS✔ Accepts Medicare190 mi
Optometry
NPI 1669885422
2400 32ND AVE S
Fargo, ND 58103
(701) 461-5100
✔ PECOS✔ Accepts Medicare207 mi

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

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 24D2111608

Sundell Eye Associates · Virginia, MN
Active · expires Apr 10, 2028
CLIA Number24D2111608
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorBridget A. Sundell
Laboratory Phone(218) 741-4411
Laboratory LocationSundell Eye Associates602 North 6th Ave West, Virginia, MN 55792
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sundell Eye Associates, PA's NPI number?

The NPI number for Sundell Eye Associates, PA is 1093027112. It was assigned to this organization in the NPPES registry on July 6, 2010.

Where is Sundell Eye Associates, PA located?

Sundell Eye Associates, PA is located at 602 N 6th Ave, Virginia, MN 55792. The listed phone number is (218) 741-4411.

What is Sundell Eye Associates, PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sundell Eye Associates, PA enrolled in Medicare?

Yes. Sundell Eye Associates, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sundell Eye Associates, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Sundell Eye Associates, PA. 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. The largest specialties are Optometry (3) and Ophthalmology (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sundell Eye Associates, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2111608) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sundell Eye Associates, PA accept?

Health plans from Aspirus Health Plan and HealthPartners list Sundell Eye Associates, PA 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 Sundell Eye Associates, PA was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.