CHARLES DORLAND O.D.
NPI 1104800804
Optometrist in Minnetonka, MN

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305(952) 993-4500 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Dorland O.d. NPPES

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

CHARLES DORLAND O.D. (NPI 1104800804) is an individual optometrist in Minnetonka, Minnesota, licensed in Minnesota (2028) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1985).

NPPES Registry Identity

NPI1104800804
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCHARLES DORLANDCredential: O.D.
Location Address15111 TWELVE OAKS CENTER DRMinnetonka, MN 55305-5201
Mailing Address8170 33rd Ave S, Po Box 1309 Mail Stop 21110qMinneapolis, MN 55425-4516 · (952) 993-4500
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1985
Enumeration DateDecember 6, 2005
Last NPPES UpdateFebruary 29, 2016
NPI 1104800804 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 · 2028
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.
15111 TWELVE OAKS CENTER DR, Minnetonka, MN 55305

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charles Dorland 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 ID8426184169
PECOS Enrollment IDI20100331001250
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.

Areas of Expertise CMS Part B claims 7

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.
392 services392 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.
60 services50 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
55 services55 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
35 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services20 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55305 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 20

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

Physical Therapist
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Internal Medicine
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Pharmacist
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Family Medicine
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Internal Medicine
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Nurse Practitioner (Women's Health)
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Family Medicine
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305
Internal Medicine
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305

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 Charles Dorland's NPI number?

The NPI number for Charles Dorland is 1104800804. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Charles Dorland located?

Charles Dorland practices at 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305. The listed phone number is (952) 993-4500.

What is Charles Dorland's specialty?

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

Is Charles Dorland enrolled in Medicare?

Yes. Charles Dorland 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.

What insurance does Charles Dorland accept?

Health plans from HealthPartners and Medica list Charles Dorland 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 Charles Dorland was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.