OPHTHALMOLOGY PA
NPI 1114921996
Ophthalmology in Edina, MN
About Ophthalmology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPHTHALMOLOGY PA (NPI 1114921996), doing business as Mccannel Eye Clinic, is a healthcare organization registered as an ophthalmology in Edina, Minnesota and active in the NPI registry since June 2005. The organization lists Jessica Louise Berg, Business Office, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ophthalmology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Ophthalmology PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Mccannel Eye Clinic carries, from the Medicare DMEPOS supplier directory.
Mccannel Eye Clinic
DMEPOS supplier · Edina, MNOperated by Ophthalmology PAAccepts Medicare assignment
Mccannel Eye Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Ophthalmology PA's NPI number?
The NPI number for Ophthalmology PA is 1114921996. It was assigned to this organization in the NPPES registry on June 9, 2005. The provider is doing business as McCannel Eye Clinic.
Where is Ophthalmology PA located?
Ophthalmology PA is located at 3100 W 70th St, Edina, MN 55435. The listed phone number is (952) 848-8300.
What is Ophthalmology PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Ophthalmology PA enrolled in Medicare?
Yes. Ophthalmology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ophthalmology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Ophthalmology 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ophthalmology PA accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Mccannel Eye Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
When was this NPI record last updated?
The NPPES record for Ophthalmology PA was last updated on May 1, 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.
# Ophthalmology Pa · NPI 1114921996
Ophthalmology organization in Edina, Minnesota. Organization record, active in the CMS NPPES registry since June 9, 2005.
## Identity
- **NPI:** 1114921996 (Entity type: Organization)
- **Enumerated:** June 9, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Also known as:** McCannel Eye Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jessica Berg, BUSINESS OFFICE
## Practice location
- **Address:** 3100 W 70TH ST, Edina, MN 55435-4227
- **Phone:** (952) 848-8300 · **Fax:** (952) 848-8313
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2026
- **Other identifiers:** Other CP4332 (MN); Other 130790P (MN); Other 156 (MN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1114921996) · Data from the CMS NPPES public registry.