ST ANTHONY OPTOMETRIC CLINIC
NPI 1205953437
Clinic/Center - Primary Care in St Anthony, MN

Active since March 23, 2007
2929 PENTAGON DR, ST ANTHONY, MN 55418(612) 781-4730(612) 706-2337 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1205953437
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST ANTHONY OPTOMETRIC CLINIC
Location Address2929 PENTAGON DRSt Anthony, MN 55418-3208
Mailing Address2929 Pentagon DrSt Anthony, MN 55418-3208 · (612) 781-4730 · Fax (612) 706-2337
Fax(612) 706-2337
Organization SubpartNo
Authorized OfficialTodd Jeffrey HansonPresident Owner · (612) 781-4730
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1205953437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MN · 2443
2929 PENTAGON DR, St Anthony, MN 55418

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Optometrist
2929 PENTAGON DR
ST ANTHONY, MN 55418
Optometrist
2929 PENTAGON DR
ST ANTHONY, MN 55418

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.

What insurance does St Anthony Optometric Clinic accept?

Health plans from BlueCross BlueShield of Tennessee and Medica 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 5 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.