BURNSVILLE EYE CLINIC LLC
NPI 1255575973
Optometrist in Burnsville, MN

Active since April 24, 2009
150 TRAVELERS TRAIL EAST, SUITE D, BURNSVILLE, MN 55337(952) 894-1400(952) 808-2216 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Burnsville Eye Clinic Llc NPPES

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

BURNSVILLE EYE CLINIC LLC (NPI 1255575973) is a healthcare organization registered as an optometrist in Burnsville, Minnesota and active in the NPI registry since April 2009. The organization lists Andrew Joseph Mattson, President, as its authorized official.

NPPES Registry Identity

NPI1255575973
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBURNSVILLE EYE CLINIC LLC
Location Address150 TRAVELERS TRAIL EAST, SUITE DBurnsville, MN 55337
Mailing Address150 Travelers Trail East, Suite DBurnsville, MN 55337 · (952) 894-1400 · Fax (952) 808-2216
Fax(952) 808-2216
Organization SubpartYesParent: South Suburban Eye Care Specialists Pa
Authorized OfficialAndrew Joseph MattsonPresident · (952) 894-1400
Enumeration DateApril 24, 2009
Last NPPES UpdateMarch 7, 2023
✔ NPI 1255575973 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 · 2823
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.
150 TRAVELERS TRAIL EAST, Burnsville, MN 55337

Other Identifiers 8

Other1518037563MN · Npi
Other2203175MN · United Health Care
Other2823MN · Mn License
OtherHP36326MN · Healthpartners
Other499R7LAMN · Blue Cross Blue Shield Mn
Other202779692MN · Vsp
Other2203175MN · Medica
OtherA61971031584MN · Preferred One

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Burnsville Eye Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Burnsville Eye Clinic LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Optometry
NPI 1467712133
1004 COUNTRY RD 42 EAST
Burnsville, MN 55337
(951) 894-1400
✔ PECOS✔ Accepts Medicare2.7 mi
Optometry
NPI 1194403774
1004 COUNTY ROAD 42 E
Burnsville, MN 55337
(952) 894-1400
✔ PECOS✔ Accepts Medicare2.7 mi
Optometry
NPI 1518037563
17690 KENWOOD TRL
Lakeville, MN 55044
(952) 898-9588
✔ PECOS✔ Accepts Medicare5.7 mi
Optometry
NPI 1871231084
17690 KENWOOD TRL
Lakeville, MN 55044
(952) 898-9588
✔ PECOS✔ Accepts Medicare5.7 mi
Optometry
NPI 1265812283
1731 17TH AVE E
Shakopee, MN 55379
(952) 445-5600
✔ PECOS✔ Accepts Medicare11 mi
Ophthalmology
NPI 1003836479
6099 WAYZATA BLVD STE 100-120
St Louis Park, MN 55416
(952) 204-5060
✔ PECOS✔ Accepts Medicare14 mi
Optometry
NPI 1710407622
755 BIELENBERG DR STE 103
Woodbury, MN 55125
(651) 504-5901
✔ PECOS✔ Accepts Medicare19 mi
Optometry
NPI 1053798637
2019 JEFFERSON RD STE A
Northfield, MN 55057
(507) 645-9202
✔ PECOS✔ Accepts Medicare24 mi
Optometry
NPI 1588077473
94 14TH ST NE SUITE 3
Buffalo, MN 55313
(763) 746-3391
✔ PECOS✔ Accepts Medicare41 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 Burnsville Eye Clinic LLC's NPI number?

The NPI number for Burnsville Eye Clinic LLC is 1255575973. It was assigned to this organization in the NPPES registry on April 24, 2009.

Where is Burnsville Eye Clinic LLC located?

Burnsville Eye Clinic LLC is located at 150 Travelers Trail East Suite D, Burnsville, MN 55337. The listed phone number is (952) 894-1400.

What is Burnsville Eye Clinic LLC's specialty?

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

Is Burnsville Eye Clinic LLC enrolled in Medicare?

Yes. Burnsville Eye Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Burnsville Eye Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Burnsville Eye Clinic 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. The largest specialties are Optometry (8) and Ophthalmology (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Burnsville Eye Clinic LLC accept?

Health plans from HealthPartners list Burnsville Eye Clinic 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 Burnsville Eye Clinic LLC was last updated on March 7, 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.