NORTHWEST EYE CLINIC, LLC
NPI 1437235280
Ophthalmology in Minnetonka, MN

Active since October 27, 2006
6060 CLEARWATER DR STE 150, MINNETONKA, MN 55343(763) 416-7600(763) 416-7634 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2020, Jun 14, 2019 (2 updates tracked since 2019).

About Northwest Eye Clinic, Llc NPPES

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

NORTHWEST EYE CLINIC, LLC (NPI 1437235280) is a healthcare organization registered as an ophthalmology in Minnetonka, Minnesota and active in the NPI registry since October 2006. The organization lists Kelly Pettengill, Credentialing And Data Management, as its authorized official.

NPPES Registry Identity

NPI1437235280
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameNORTHWEST EYE CLINIC, LLC
Location Address6060 CLEARWATER DR STE 150Minnetonka, MN 55343-9490
Mailing Address8401 Golden Valley Rd Ste 330Golden Valley, MN 55427-4488 · (763) 416-7629 · Fax (763) 383-4147
Fax(763) 416-7634
Organization SubpartNo
Authorized OfficialKelly PettengillCredentialing And Data Management · (763) 416-7629
Enumeration DateOctober 27, 2006
Last NPPES UpdateMarch 18, 20202 updates tracked since enumeration
NPPES CertifiedMarch 18, 2020
NPI 1437235280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MN · 360
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
6060 CLEARWATER DR STE 150, Minnetonka, MN 55343

Other Identifiers 1

Medicaid467427800MN

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Ophthalmology
6060 CLEARWATER DR STE 150
MINNETONKA, MN 55343
Eyewear Supplier
6060 CLEARWATER DR STE 150
MINNETONKA, MN 55343
Ophthalmology
6060 CLEARWATER DR STE 150
MINNETONKA, MN 55343

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 Northwest Eye Clinic, LLC's NPI number?

The NPI number for Northwest Eye Clinic, LLC is 1437235280. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Northwest Eye Clinic, LLC located?

Northwest Eye Clinic, LLC is located at 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343. The listed phone number is (763) 416-7600.

What is Northwest Eye Clinic, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Northwest Eye Clinic, LLC was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.