ST ANTHONY OPTOMETRIC CLINIC
NPI 1205953437
Clinic/Center - Primary Care in St Anthony, MN
About St Anthony Optometric Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST ANTHONY OPTOMETRIC CLINIC (NPI 1205953437) is a healthcare organization registered as a primary care in St Anthony, Minnesota and active in the NPI registry since March 2007. The organization lists Todd Jeffrey Hanson, President Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
St Anthony Optometric Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to St Anthony Optometric Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 St Anthony Optometric Clinic's NPI number?
The NPI number for St Anthony Optometric Clinic is 1205953437. It was assigned to this organization in the NPPES registry on March 23, 2007.
Where is St Anthony Optometric Clinic located?
St Anthony Optometric Clinic is located at 2929 Pentagon Dr, St Anthony, MN 55418. The listed phone number is (612) 781-4730.
What is St Anthony Optometric Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is St Anthony Optometric Clinic enrolled in Medicare?
Yes. St Anthony Optometric Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Anthony Optometric Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to St Anthony Optometric Clinic. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does St Anthony Optometric Clinic accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list St Anthony Optometric Clinic 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 St Anthony Optometric Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# St Anthony Optometric Clinic · NPI 1205953437
Primary Care organization in St Anthony, Minnesota. Organization record, active in the CMS NPPES registry since March 23, 2007.
## Identity
- **NPI:** 1205953437 (Entity type: Organization)
- **Enumerated:** March 23, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Todd Hanson, PRESIDENT OWNER
## Practice location
- **Address:** 2929 PENTAGON DR, St Anthony, MN 55418-3208
- **Phone:** (612) 781-4730 · **Fax:** (612) 706-2337
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1205953437) · Data from the CMS NPPES public registry.