EAGAN EYE CLINIC LLC
NPI 1477732337
Optometrist in Eagan, MN
About Eagan Eye Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGAN EYE CLINIC LLC (NPI 1477732337) is a healthcare organization registered as an optometrist in Eagan, Minnesota and active in the NPI registry since October 2007. The organization lists Cathy Short, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Eagan Eye Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
79Medicare enrollment records show 79 clinicians reassign Medicare billing to Eagan Eye Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 79Source: 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 Eagan Eye Clinic LLC's NPI number?
The NPI number for Eagan Eye Clinic LLC is 1477732337. It was assigned to this organization in the NPPES registry on October 29, 2007.
Where is Eagan Eye Clinic LLC located?
Eagan Eye Clinic LLC is located at 3930 Cedar Grove Pkwy, Eagan, MN 55122. The listed phone number is (651) 454-5661.
What is Eagan Eye Clinic LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Eagan Eye Clinic LLC enrolled in Medicare?
Yes. Eagan Eye Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eagan Eye Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 79 clinicians, all in Optometry, reassign their Medicare billing to Eagan Eye Clinic LLC. 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, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Eagan Eye Clinic LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Eagan Eye Clinic LLC 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 Eagan Eye Clinic LLC was last updated on July 7, 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.
# Eagan Eye Clinic Llc · NPI 1477732337
Optometrist organization in Eagan, Minnesota. Organization record, active in the CMS NPPES registry since October 29, 2007.
## Identity
- **NPI:** 1477732337 (Entity type: Organization)
- **Enumerated:** October 29, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Cathy Short, CREDENTIALING MANAGER
## Practice location
- **Address:** 3930 CEDAR GROVE PKWY, Eagan, MN 55122-1403
- **Phone:** (651) 454-5661 · **Fax:** (651) 454-5669
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 79 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1477732337/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2020
- **Other identifiers:** Medicaid 271775100 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1477732337) · Data from the CMS NPPES public registry.