EDINA EYE PHYSICIANS AND SURGEONS PA
NPI 1114124971
Clinic/Center - Medical Specialty in Blaine, MN

Active since June 27, 2007CLIA Certified · 2 labs
11855 ULYSSES ST, SUITE 140, BLAINE, MN 55434(763) 421-7420(763) 421-0730 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2026, Jan 4, 2019 (2 updates tracked since 2019).

About Edina Eye Physicians And Surgeons Pa NPPES

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

EDINA EYE PHYSICIANS AND SURGEONS PA (NPI 1114124971), doing business as Twin Cities Eye Consultants, is a healthcare organization registered as a medical specialty in Blaine, Minnesota and active in the NPI registry since June 2007. The organization holds 2 active CLIA laboratory certificates and lists Delta Jorgensen, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1114124971
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameEDINA EYE PHYSICIANS AND SURGEONS PA
Location Address11855 ULYSSES ST, SUITE 140Blaine, MN 55434
Mailing Address3777 Coon Rapids Blvd Nw Ste 100Coon Rapids, MN 55433-2630 · (612) 999-2020 · Fax (763) 421-0730
Fax(763) 421-0730
Organization SubpartNo
Authorized OfficialDelta JorgensenPractice Administrator · (763) 592-8413
Enumeration DateJune 27, 2007
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1114124971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
11855 ULYSSES ST, Blaine, MN 55434

Other Names 1

Doing Business AsTwin Cities Eye Consultants

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 24D2120522

Edina Eye Physicians And Surgeons · Coon Rapids, MN
Active · expires Oct 17, 2026
CLIA Number24D2120522
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorJeffery J. Stephens
Laboratory Phone(763) 421-7420
Laboratory LocationEdina Eye Physicians And Surgeons3777 Coon Rapids Blvd NW, Suite 100, Coon Rapids, MN 55433
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1071778

Edina Eye Physicians And Surgeons · Saint Paul, MN
Active · expires Jan 13, 2028
CLIA Number24D1071778
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorJeffery J. Stephens
Laboratory Phone(763) 421-7420
Laboratory LocationEdina Eye Physicians And Surgeons4520 Centerville Road, Saint Paul, MN 55127
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Eyewear Supplier
11855 ULYSSES ST, SUITE 140
BLAINE, MN 55434

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 Edina Eye Physicians And Surgeons PA's NPI number?

The NPI number for Edina Eye Physicians And Surgeons PA is 1114124971. It was assigned to this organization in the NPPES registry on June 27, 2007. The provider is doing business as Twin Cities Eye Consultants.

Where is Edina Eye Physicians And Surgeons PA located?

Edina Eye Physicians And Surgeons PA is located at 11855 Ulysses St Suite 140, Blaine, MN 55434. The listed phone number is (763) 421-7420.

What is Edina Eye Physicians And Surgeons PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Edina Eye Physicians And Surgeons PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Edina Eye Physicians And Surgeons PA accept?

Health plans from HealthPartners and Medica list Edina Eye Physicians And Surgeons 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 Edina Eye Physicians And Surgeons PA was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.