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OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.A.
NPI 1386716157
Specialist in Minneapolis, MN

Active since November 15, 2006
4887 E LAKE HARRIET BLVD, MINNEAPOLIS, MN 55419(612) 325-0317 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ophthalmic Plastic And Reconstructive Surgery, P.a. NPPES

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

OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.A. (NPI 1386716157) is a healthcare organization registered as a specialist in Minneapolis, Minnesota and active in the NPI registry since November 2006. The organization lists Richard P Carroll, President/owner, as its authorized official.

NPPES Registry Identity

NPI1386716157
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, P.A.
Location Address4887 E LAKE HARRIET BLVDMinneapolis, MN 55419-5222
Mailing Address4887 E Lake Harriet BlvdMinneapolis, MN 55419-5222 · (612) 325-0317
Phone(612) 325-0317
Organization SubpartNo
Authorized OfficialRichard P CarrollPresident/owner · (612) 325-0317
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 27, 2010
✔ NPI 1386716157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MN · 799
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4887 E LAKE HARRIET BLVD, Minneapolis, MN 55419
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Other Identifiers 11

Medicaid16176ND
Other26128OPMN · Blue Cross Blue Shield Mn
Other95322MN · Health Partners
Medicaid031010700MN
Medicare PINC01166MN
Other122169D805MN · Ucare Minnesota
Other0802163MN · Medica
Medicaid7787270SD
Medicaid31260500WI
Medicare PINCP2368GA
Medicare PINCP2456GA

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

Other Providers at the Same Location NPPES

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

DR. RICHARD PAUL CARROLL M.D.
Specialist
4887 E LAKE HARRIET BLVD
MINNEAPOLIS, MN 55419
Hennepin County (612) 325-0317

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 Ophthalmic Plastic And Reconstructive Surgery, P.A.'s NPI number?

The NPI number for Ophthalmic Plastic And Reconstructive Surgery, P.A. is 1386716157. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Ophthalmic Plastic And Reconstructive Surgery, P.A. located?

Ophthalmic Plastic And Reconstructive Surgery, P.A. is located at 4887 E Lake Harriet Blvd, Minneapolis, MN 55419. The listed phone number is (612) 325-0317.

What is Ophthalmic Plastic And Reconstructive Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ophthalmic Plastic And Reconstructive Surgery, P.A. was last updated on April 27, 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.