MAPLE GROVE VISION CLINIC, P.A.
NPI 1366472342
Optometrist in Maple Grove, MN
About Maple Grove Vision Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAPLE GROVE VISION CLINIC, P.A. (NPI 1366472342) is a healthcare organization registered as an optometrist in Maple Grove, Minnesota and active in the NPI registry since July 2006. The organization lists Linda M Thiel, Clinic Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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)
Maple Grove Vision Clinic, 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 Maple Grove Vision Clinic, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Maple Grove Vision Clinic, P.A.'s NPI number?
The NPI number for Maple Grove Vision Clinic, P.A. is 1366472342. It was assigned to this organization in the NPPES registry on July 4, 2006.
Where is Maple Grove Vision Clinic, P.A. located?
Maple Grove Vision Clinic, P.A. is located at 13645 Grove Dr, Maple Grove, MN 55311. The listed phone number is (763) 420-8030.
What is Maple Grove Vision Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Maple Grove Vision Clinic, P.A. enrolled in Medicare?
Yes. Maple Grove Vision Clinic, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maple Grove Vision Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Maple Grove Vision Clinic, 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 Maple Grove Vision Clinic, P.A. accept?
Health plans from HealthPartners list Maple Grove Vision Clinic, 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 Maple Grove Vision Clinic, P.A. was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Maple Grove Vision Clinic, P.a. · NPI 1366472342
Optometrist organization in Maple Grove, Minnesota. Organization record, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1366472342 (Entity type: Organization)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Linda Thiel, CLINIC ADMINISTRATOR
## Practice location
- **Address:** 13645 GROVE DR, Maple Grove, MN 55311-4405
- **Phone:** (763) 420-8030 · **Fax:** (763) 420-8342
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2009
- **Other identifiers:** Medicare ID-Type Unspecified C04001 (MN); Medicaid 762603700 (MN); Medicare NSC 5472200001 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1366472342) · Data from the CMS NPPES public registry.