TOTAL EYE CARE PA
NPI 1407955420
Optometrist in Plymouth, MN
About Total Eye Care Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TOTAL EYE CARE PA (NPI 1407955420) is a healthcare organization registered as an optometrist in Plymouth, Minnesota and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 19, 2028 and lists Jeffrey Bruce Anderson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
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)
Total Eye Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Total Eye Care PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2349405
Total Eye Care, PC · Eden Prairie, MNFrequently 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 Total Eye Care PA's NPI number?
The NPI number for Total Eye Care PA is 1407955420. It was assigned to this organization in the NPPES registry on September 22, 2006.
Where is Total Eye Care PA located?
Total Eye Care PA is located at 4175 Vinewood Ln N, Plymouth, MN 55442. The listed phone number is (763) 553-2883.
What is Total Eye Care PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Total Eye Care PA enrolled in Medicare?
Yes. Total Eye Care PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Total Eye Care PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Total Eye Care PA. 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Total Eye Care PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2349405) is associated with this NPI, valid through August 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Total Eye Care PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Total Eye Care PA 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 Total Eye Care PA was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Total Eye Care Pa · NPI 1407955420
Optometrist organization in Plymouth, Minnesota. Organization record, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1407955420 (Entity type: Organization)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Anderson, PRESIDENT
## Practice location
- **Address:** 4175 VINEWOOD LN N, Plymouth, MN 55442-2624
- **Phone:** (763) 553-2883 · **Fax:** (240) 317-5185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2025
- **Other identifiers:** Other 328M9AN (MN); Other 2202818 (MN); Other 2202941 (MN); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407955420) · Data from the CMS NPPES public registry.