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MINNESOTA VISION OUTREACH, INC
NPI 1457563827
Optometrist in Plymouth, MN

Active since May 05, 2007
9905 45TH AVENUE NORTH, SUITE 110, PLYMOUTH, MN 55422(763) 595-8414(763) 595-8414 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2016, Jan 11, 2016 (2 updates tracked since 2016).

About Minnesota Vision Outreach, Inc NPPES

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

MINNESOTA VISION OUTREACH, INC (NPI 1457563827) is a healthcare organization registered as an optometrist in Plymouth, Minnesota and active in the NPI registry since May 2007. The organization lists Samuel Wolfson, Owner, as its authorized official.

NPPES Registry Identity

NPI1457563827
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMINNESOTA VISION OUTREACH, INC
Location Address9905 45TH AVENUE NORTH, SUITE 110Plymouth, MN 55422-3315
Mailing Address9905 45th Avenue North, Suite 110Plymouth, MN 55422-3315 · (763) 595-8414 · Fax (763) 595-8438
Phone(763) 595-8414
Fax(763) 595-8414
Organization SubpartNo
Authorized OfficialSamuel WolfsonOwner · (763) 585-8414
Enumeration DateMay 5, 2007
Last NPPES UpdateNovember 10, 20162 updates tracked since enumeration
✔ NPI 1457563827 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 · 1706
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.
9905 45TH AVENUE NORTH, Plymouth, MN 55422
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Other Identifiers 9

Other3C780MIMN · Blue Plus
Medicaid096744100MN
Other2115998MN · Medica Choice
Medicare PIN0909390001MN
Other102877MN · Ucare
Other19467WOMN · Bcbs Of Mn
Other23979MN · Health Partners
Other2499537MN · Mhp
Other2100002MN · Medica Primary

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 ›

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 Minnesota Vision Outreach, Inc's NPI number?

The NPI number for Minnesota Vision Outreach, Inc is 1457563827. It was assigned to this organization in the NPPES registry on May 5, 2007.

Where is Minnesota Vision Outreach, Inc located?

Minnesota Vision Outreach, Inc is located at 9905 45th Avenue North Suite 110, Plymouth, MN 55422. The listed phone number is (763) 595-8414.

What is Minnesota Vision Outreach, Inc's specialty?

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

What insurance does Minnesota Vision Outreach, Inc accept?

Health plans from HealthPartners list Minnesota Vision Outreach, 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 Minnesota Vision Outreach, Inc was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.