OPHTHALMOLOGY PA
NPI 1114921996
Ophthalmology in Edina, MN

Active since June 09, 2005
3100 W 70TH ST, EDINA, MN 55435(952) 848-8300(952) 848-8313 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, May 5, 2025, Feb 21, 2025 and 2 more (5 updates tracked since 2022).

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

NPI1114921996
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameOPHTHALMOLOGY PA
Location Address3100 W 70TH STEdina, MN 55435-4227
Mailing Address3100 W 70th StEdina, MN 55435-4227 · (952) 848-8300 · Fax (952) 848-8313
Fax(952) 848-8313
Organization SubpartNo
Authorized OfficialJessica Louise BergBusiness Office · (952) 848-8383
Enumeration DateJune 9, 2005
Last NPPES UpdateMay 1, 20265 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
NPI 1114921996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MN · 0026007
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.
Also ListedEyewear SupplierTaxonomy 332H00000X · License 0026007 (MN)
3100 W 70TH ST, Edina, MN 55435

Other Names 1

Doing Business AsMccannel Eye Clinic

Other Identifiers 5

OtherCP4332MN · Railroad Medicare
Other130790PMN · Blue Shield Of Minnesota
Other156MN · Health Partners
Medicaid585010000MN
OtherD044MN · Ucare Minnesota

Accepted Insurance

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 PA

Accepts 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.

PTAN (Medicare Supplier Number)20679101
Medicare Participant SinceOctober 1, 1984
Supplier Location3100 W 70th StEdina, MN 55435
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

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

Ophthalmology
3100 W 70TH ST
EDINA, MN 55435
Ophthalmology
3100 W 70TH ST
EDINA, MN 55435
Ophthalmology
3100 W 70TH ST
EDINA, MN 55435
Ophthalmology
3100 W 70TH ST
EDINA, MN 55435
Ophthalmology
3100 W 70TH ST
EDINA, MN 55435
Ophthalmology
3100 W 70TH ST
EDINA, MN 55435
Ophthalmology
3100 W 70TH ST
EDINA, MN 55435

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.

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.

What insurance does Ophthalmology PA accept?

Health plans from Medica list Ophthalmology 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 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 3 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.