COMMUNITY EYE CLINIC
NPI 1417100629
Optometrist in Maplewood, MN

Active since October 31, 2008
1670 BEAM AVE, STE 202, MAPLEWOOD, MN 55109(651) 777-6149 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Eye Clinic NPPES

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

COMMUNITY EYE CLINIC (NPI 1417100629) is a healthcare organization registered as an optometrist in Maplewood, Minnesota and active in the NPI registry since October 2008. The organization lists Jonathan Larson, Owner, as its authorized official.

NPPES Registry Identity

NPI1417100629
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCOMMUNITY EYE CLINIC
Location Address1670 BEAM AVE, STE 202Maplewood, MN 55109-1129
Mailing Address1670 Beam Ave, Ste 202Maplewood, MN 55109-1129
Organization SubpartNo
Authorized OfficialJonathan LarsonOwner · (651) 777-6149
Enumeration DateOctober 31, 2008
NPI 1417100629 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 · LD2140000
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.
1670 BEAM AVE, Maplewood, MN 55109

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 20

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

Clinic/Center (Dental)
1670 BEAM AVE, STE 202
MAPLEWOOD, MN 55109
Dentist (General Practice)
1670 BEAM AVE
MAPLEWOOD, MN 55109
Dental Hygienist
1670 BEAM AVE
MAPLEWOOD, MN 55109
Dentist
1670 BEAM AVE
SAINT PAUL, MN 55109
Dental Assistant
1670 BEAM AVE, #204
MAPLEWOOD, MN 55109
Dentist (General Practice)
1670 BEAM AVE
MAPLEWOOD, MN 55109
Dentist (General Practice)
1670 BEAM AVE, COMMUNITY DENTAL CARE
MAPLEWOOD, MN 55109
Dental Hygienist
1670 BEAM AVE
MAPLEWOOD, MN 55109

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 Community Eye Clinic's NPI number?

The NPI number for Community Eye Clinic is 1417100629. It was assigned to this organization in the NPPES registry on October 31, 2008.

Where is Community Eye Clinic located?

Community Eye Clinic is located at 1670 Beam Ave Ste 202, Maplewood, MN 55109. The listed phone number is (651) 777-6149.

What is Community Eye Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Community Eye Clinic was last updated on October 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.