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THE SPECTACLE SHOPPE INC
NPI 1235457722
Optometrist in Burnsville, MN

Active since May 10, 2010
1178 BURNSVILLE CTR, SUITE 201, BURNSVILLE, MN 55306(952) 892-6666(952) 892-6876 Get Directions Write a Review

NPPES record last updated: May 10, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Spectacle Shoppe Inc NPPES

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

THE SPECTACLE SHOPPE INC (NPI 1235457722) is a healthcare organization registered as an optometrist in Burnsville, Minnesota and active in the NPI registry since May 2010. The organization lists David Ulrich, Owner, as its authorized official.

NPPES Registry Identity

NPI1235457722
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameTHE SPECTACLE SHOPPE INC
Location Address1178 BURNSVILLE CTR, SUITE 201Burnsville, MN 55306-6218
Mailing Address1178 Burnsville Ctr, Suite 201Burnsville, MN 55306-6218 · (952) 892-6666 · Fax (952) 892-6876
Phone(952) 892-6666
Fax(952) 892-6876
Organization SubpartYes
Authorized OfficialDavid UlrichOwner · (651) 636-3434
Enumeration DateMay 10, 2010
✔ NPI 1235457722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 0136
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.
1178 BURNSVILLE CTR, Burnsville, MN 55306
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Spectacle Shoppe Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to The Spectacle Shoppe Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Tyler Baars, OD
Optometry
NPI 1861747305
2405 HENNEPIN AVE
Mpls, MN 55405
(612) 584-4142
✔ PECOS✔ Accepts Medicare15 mi
Jacob Erickson, O.D.
Optometry
NPI 1700370749
1089 GRAND AVE
Saint Paul, MN 55105
(651) 797-4834
✔ PECOS✔ Accepts Medicare15 mi
Michael Krysiak, O.D.
Optometry
NPI 1629112198
700 NICOLLET MALL
Minneapolis, MN 55402
(612) 375-2697
✔ PECOS✔ Accepts Medicare16 mi
James Brekke, OD
Optometry
NPI 1134291487
7150 VALLEY CREEK PLZ SUITE 216
Woodbury, MN 55125
(651) 738-4886
✔ PECOS✔ Accepts Medicare20 mi
Timothy Nelson, OD
Optometry
NPI 1215091616
11330 FOUNTAINS DR
Maple Grove, MN 55369
(763) 494-8063
✔ PECOS✔ Accepts Medicare25 mi
Angella Schaefer, O.D.
Optometry
NPI 1073900718
1575 20TH ST NW SUITE 101
Faribault, MN 55021
(507) 332-9900
✔ PECOS✔ Accepts Medicare30 mi
Lee Schneider, O.D.
Optometry
NPI 1598114530
1544 GREENVIEW DR SW
Rochester, MN 55902
(507) 287-2711
✔ PECOS✔ Accepts Medicare65 mi
Wing Yip, OD
Optometry
NPI 1114373560
3241 S MICHIGAN AVE
Chicago, IL 60616
(312) 949-7751
✔ PECOS✔ Accepts Medicare349 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 The Spectacle Shoppe Inc's NPI number?

The NPI number for The Spectacle Shoppe Inc is 1235457722. It was assigned to this organization in the NPPES registry on May 10, 2010.

Where is The Spectacle Shoppe Inc located?

The Spectacle Shoppe Inc is located at 1178 Burnsville Ctr Suite 201, Burnsville, MN 55306. The listed phone number is (952) 892-6666.

What is The Spectacle Shoppe Inc's specialty?

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

Is The Spectacle Shoppe Inc enrolled in Medicare?

Yes. The Spectacle Shoppe Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Spectacle Shoppe Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Optometry, reassign their Medicare billing to The Spectacle Shoppe Inc. 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.

When was this NPI record last updated?

The NPPES record for The Spectacle Shoppe Inc was last updated on May 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.