1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Optometrist
  6. NPI Profile

SPECTACLE SHOPPE INC.
NPI 1386965770
Optometrist in Minneapolis, MN

Active since June 20, 2010
2405 HENNEPIN AVE, MINNEAPOLIS, MN 55405(612) 584-4142(612) 584-4147 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2025, Jul 23, 2024, Jul 16, 2024 (3 updates tracked since 2024).

About Spectacle Shoppe Inc. NPPES

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

SPECTACLE SHOPPE INC. (NPI 1386965770), doing business as The Spectacle Shoppe Inc., is a healthcare organization registered as an optometrist in Minneapolis, Minnesota and active in the NPI registry since June 2010. The organization lists Beth Seaton Ulrich, Authorized Offical/coo, as its authorized official.

NPPES Registry Identity

NPI1386965770
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSPECTACLE SHOPPE INC.
Location Address2405 HENNEPIN AVEMinneapolis, MN 55405-2606
Mailing Address2405 Hennepin AveMinneapolis, MN 55405-2606 · (612) 584-4142 · Fax (612) 584-4147
Phone(612) 584-4142
Fax(612) 584-4147
Organization SubpartNo
Authorized OfficialBeth Seaton UlrichAuthorized Offical/coo · (651) 636-3434
Enumeration DateJune 20, 2010
Last NPPES UpdateMarch 21, 20253 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1386965770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
Also ListedEyewear SupplierTaxonomy 332H00000X
2405 HENNEPIN AVE, Minneapolis, MN 55405
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Spectacle Shoppe Inc.

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)

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 Spectacle Shoppe Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. 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 MedicareSame address
Michael Krysiak, O.D.
Optometry
NPI 1629112198
700 NICOLLET MALL
Minneapolis, MN 55402
(612) 375-2697
✔ PECOS✔ Accepts Medicare1.6 mi
Jacob Erickson, O.D.
Optometry
NPI 1700370749
1089 GRAND AVE
Saint Paul, MN 55105
(651) 797-4834
✔ PECOS✔ Accepts Medicare7.4 mi
Timothy Nelson, OD
Optometry
NPI 1215091616
11330 FOUNTAINS DR
Maple Grove, MN 55369
(763) 494-8063
✔ PECOS✔ Accepts Medicare11 mi
James Brekke, OD
Optometry
NPI 1134291487
7150 VALLEY CREEK PLZ SUITE 216
Woodbury, MN 55125
(651) 738-4886
✔ PECOS✔ Accepts Medicare16 mi
Angella Schaefer, O.D.
Optometry
NPI 1073900718
1575 20TH ST NW SUITE 101
Faribault, MN 55021
(507) 332-9900
✔ PECOS✔ Accepts Medicare45 mi
Lee Schneider, O.D.
Optometry
NPI 1598114530
1544 GREENVIEW DR SW
Rochester, MN 55902
(507) 287-2711
✔ PECOS✔ Accepts Medicare77 mi
Wing Yip, OD
Optometry
NPI 1114373560
3241 S MICHIGAN AVE
Chicago, IL 60616
(312) 949-7751
✔ PECOS✔ Accepts Medicare358 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 Spectacle Shoppe Inc.'s NPI number?

The NPI number for Spectacle Shoppe Inc. is 1386965770. It was assigned to this organization in the NPPES registry on June 20, 2010. The provider is doing business as The Spectacle Shoppe Inc..

Where is Spectacle Shoppe Inc. located?

Spectacle Shoppe Inc. is located at 2405 Hennepin Ave, Minneapolis, MN 55405. The listed phone number is (612) 584-4142.

What is Spectacle Shoppe Inc.'s specialty?

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

Is Spectacle Shoppe Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Spectacle Shoppe Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Optometry, reassign their Medicare billing to 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spectacle Shoppe Inc. accept?

Health plans from HealthPartners list Spectacle Shoppe Inc. 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 Spectacle Shoppe Inc. was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.