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: November 01, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edina Eye Physicians And Surgeons Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Edina Eye Physicians And Surgeons PA, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Optometry13
Ophthalmology11

Nearest to this location (20)

See all 24
Optometry
NPI 1073542767
3777 COON RAPIDS BLVD NW SUITE 100
Coon Rapids, MN 55433
(763) 421-7420
✔ PECOS✔ Accepts Medicare6.2 mi
Optometry
NPI 1922038926
3777 COON RAPIDS BLVD NW STE 100
Coon Rapids, MN 55433
(763) 421-7420
✔ PECOS✔ Accepts Medicare6.2 mi
Ophthalmology
NPI 1912151929
3777 COON RAPIDS BLVD NW SUITE 100
Coon Rapids, MN 55433
(763) 421-7420
✔ PECOS✔ Accepts Medicare6.2 mi
Optometry
NPI 1285918268
3777 COON RAPIDS BLVD NW SUITE 100
Coon Rapids, MN 55433
(763) 421-7420
✔ PECOS✔ Accepts Medicare6.2 mi
Optometry
NPI 1588790729
3777 COON RAPIDS BOULEVARD SUITE 100
Coon Rapids, MN 55433
(763) 421-7420
✔ PECOS✔ Accepts Medicare6.2 mi
Optometry
NPI 1891924304
3777 COON RAPIDS BLVD NW SUITE 100
Coon Rapids, MN 55433
(763) 421-7420
✔ PECOS✔ Accepts Medicare6.2 mi
Ophthalmology
NPI 1598121808
3777 COON RAPIDS BLVD NW STE 100
Coon Rapids, MN 55433
(763) 421-7420
✔ PECOS✔ Accepts Medicare6.2 mi
Optometry
NPI 1750645115
3777 COON RAPIDS BLVD NW STE 100
Coon Rapids, MN 55433
(763) 421-7420
✔ PECOS✔ Accepts Medicare6.2 mi
Ophthalmology
NPI 1083935068
3777 COON RAPIDS BLVD NW # 100
Coon Rapids, MN 55433
(763) 421-7420
✔ PECOS✔ Accepts Medicare6.2 mi
Optometry
NPI 1568873123
3777 COON RAPIDS BLVD NW SUITE 100
Coon Rapids, MN 55433
(763) 421-7420
✔ PECOS✔ Accepts Medicare6.2 mi
Optometry
NPI 1619525458
3777 COON RAPIDS BLVD NW STE 100
Coon Rapids, MN 55433
(612) 999-2020
✔ PECOS✔ Accepts Medicare6.2 mi
Optometry
NPI 1205814134
3142 HENNEPIN AVE
Minneapolis, MN 55408
(612) 822-7021
✔ PECOS✔ Accepts Medicare17 mi
Optometry
NPI 1619937471
401 PHALEN BLVD - MS 41102E HEALTHPARTNERS SPECIALTY CENTER 401
St. Paul, MN 55130
(651) 254-7500
✔ PECOS✔ Accepts Medicare17 mi
Ophthalmology
NPI 1114994589
10709 WAYZATA BLVD STE 200
Minnetonka, MN 55305
(952) 888-5800
✔ PECOS✔ Accepts Medicare17 mi
Optometry
NPI 1477034171
7450 FRANCE AVE S STE 100
Edina, MN 55435
(952) 832-8100
✔ PECOS✔ Accepts Medicare22 mi
Ophthalmology
NPI 1467913889
7450 FRANCE AVE S
Edina, MN 55435
(612) 999-2020
✔ PECOS✔ Accepts Medicare22 mi
Ophthalmology
NPI 1548236979
7450 FRANCE AVE S SUITE 100
Edina, MN 55435
(952) 832-8100
✔ PECOS✔ Accepts Medicare22 mi
Ophthalmology
NPI 1790104974
7450 FRANCE AVE S STE 100
Edina, MN 55435
(612) 999-2020
✔ PECOS✔ Accepts Medicare22 mi
Ophthalmology
NPI 1508833138
7450 FRANCE AVE S SUITE 100
Edina, MN 55435
(952) 832-8100
✔ PECOS✔ Accepts Medicare22 mi
Optometry
NPI 1639646664
7450 FRANCE AVE S STE 100
Edina, MN 55435
(952) 832-8100
✔ PECOS✔ Accepts Medicare22 mi
See all 24 clinicians

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 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, 2028
CLIA Number24D2120522
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2026
Certificate Expiration DateOctober 17, 2028
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.

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.

Is Edina Eye Physicians And Surgeons PA enrolled in Medicare?

Yes. Edina Eye Physicians And Surgeons PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edina Eye Physicians And Surgeons PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 2 Medicare specialties reassign their Medicare billing to Edina Eye Physicians And Surgeons 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 (13) and Ophthalmology (11). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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 9 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.