MAPLE GROVE EYE CARE, LLC
NPI 1184409153
Optometrist in Maple Grove, MN

Q: What is Maple Grove Eye Care, LLC's NPI number?

The NPI number for Maple Grove Eye Care, LLC is 1184409153. It was assigned to this organization in the NPPES registry on August 29, 2023.

Q: What is Maple Grove Eye Care, LLC's specialty?

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

Active since August 29, 2023

9885 MAPLE GROVE PARKWAY, MAPLE GROVE, MN 55369(952) 807-4173 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Maple Grove Eye Care, Llc NPPES

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

MAPLE GROVE EYE CARE, LLC (NPI 1184409153) is a healthcare organization registered as an optometrist in Maple Grove, Minnesota and active in the NPI registry since August 2023. The organization lists Quy T Tran, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184409153

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMAPLE GROVE EYE CARE, LLC

Location Address9885 MAPLE GROVE PARKWAYMaple Grove, MN 55369

Mailing Address17399 78th Ave NMaple Grove, MN 55311-4626 · (952) 807-4173

Phone(952) 807-4173

Organization SubpartNo

Authorized OfficialQuy T TranCeo · (952) 807-4173

Enumeration DateAugust 29, 2023

NPPES CertifiedAugust 26, 2023

✔ NPI 1184409153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

9885 MAPLE GROVE PARKWAY, Maple Grove, MN 55369

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Maple Grove Eye Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maple Grove Eye Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Quy Tran, OD

Optometry

NPI 1619164290

19576 HOLT ST NW
Elk River, MN 55330

(763) 241-2083

✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Maple Grove Eye Care, LLC's NPI number?

The NPI number for Maple Grove Eye Care, LLC is 1184409153. It was assigned to this organization in the NPPES registry on August 29, 2023.

Where is Maple Grove Eye Care, LLC located?

Maple Grove Eye Care, LLC is located at 9885 Maple Grove Parkway, Maple Grove, MN 55369. The listed phone number is (952) 807-4173.

What is Maple Grove Eye Care, LLC's specialty?

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

Is Maple Grove Eye Care, LLC enrolled in Medicare?

Yes. Maple Grove Eye Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maple Grove Eye Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Maple Grove Eye Care, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Maple Grove Eye Care, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Maple Grove Eye Care, LLC 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 Maple Grove Eye Care, LLC was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.