ADVANCED OPTOMETRY, P.A.
NPI 1356450969
Optometrist in Lakeville, MN

Q: What is Advanced Optometry, P.A.'s NPI number?

The NPI number for Advanced Optometry, P.A. is 1356450969. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider was formerly known as Advanced Eye Care Professionals.

Q: What is Advanced Optometry, P.A.'s specialty?

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

Active since August 29, 2006

17799 KENWOOD TRL, LAKEVILLE, MN 55044(952) 898-4088(952) 898-0883 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Advanced Optometry, P.a. NPPES

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

ADVANCED OPTOMETRY, P.A. (NPI 1356450969), doing business as Advanced Eye Care Professionals, is a healthcare organization registered as an optometrist in Lakeville, Minnesota and active in the NPI registry since August 2006. The organization lists Amy M Rudser, Dr./optometrist, as its authorized official.

NPPES Registry Identity

NPI1356450969

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameADVANCED OPTOMETRY, P.A.

Location Address17799 KENWOOD TRLLakeville, MN 55044-9493

Mailing Address17799 Kenwood TrlLakeville, MN 55044-9493 · (952) 898-4088 · Fax (950) 898-0883

Phone(952) 898-4088

Fax(952) 898-0883

Organization SubpartNo

Authorized OfficialAmy M RudserDr./optometrist · (952) 898-4088

Enumeration DateAugust 29, 2006

Last NPPES UpdateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1356450969 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 · LD 3031000

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.

17799 KENWOOD TRL, Lakeville, MN 55044

Open in Google Maps ↗

Other Names 1

Former Legal Business NameAdvanced Eye Care Professionals

Other Identifiers 1

Medicaid767645000MN

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 HealthPartners.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)

Advanced Optometry, P.a. 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 Advanced Optometry, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Rudser, O.D.

Optometry

NPI 1760499537

17799 KENWOOD TRL
Lakeville, MN 55044

(952) 898-4088

✔ PECOS✔ Accepts MedicareSame address

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 Advanced Optometry, P.A.'s NPI number?

The NPI number for Advanced Optometry, P.A. is 1356450969. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider was formerly known as Advanced Eye Care Professionals.

Where is Advanced Optometry, P.A. located?

Advanced Optometry, P.A. is located at 17799 Kenwood Trl, Lakeville, MN 55044. The listed phone number is (952) 898-4088.

What is Advanced Optometry, P.A.'s specialty?

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

Is Advanced Optometry, P.A. enrolled in Medicare?

Yes. Advanced Optometry, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Optometry, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Advanced Optometry, P.A.. 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 Advanced Optometry, P.A. accept?

Health plans from HealthPartners list Advanced Optometry, P.A. 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 Advanced Optometry, P.A. was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.