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ST CLOUD EYE CLINIC PA
NPI 1538157805
Ophthalmology in Saint Cloud, MN

Active since October 11, 2005
2055 15TH ST N, SAINT CLOUD, MN 56303(320) 251-1432(320) 251-7122 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About St Cloud Eye Clinic Pa NPPES

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

ST CLOUD EYE CLINIC PA (NPI 1538157805) is a healthcare organization registered as an ophthalmology in Saint Cloud, Minnesota and active in the NPI registry since October 2005. The organization lists Deforest Everton Starkey, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1538157805
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameST CLOUD EYE CLINIC PA
Location Address2055 15TH ST NSaint Cloud, MN 56303-1747
Mailing Address2055 15th St NSaint Cloud, MN 56303-1747 · (320) 251-1432 · Fax (320) 251-7122
Phone(320) 251-1432
Fax(320) 251-7122
Organization SubpartNo
Authorized OfficialDeforest Everton StarkeyOffice Manager · (320) 251-1432
Enumeration DateOctober 11, 2005
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1538157805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
2055 15TH ST N, Saint Cloud, MN 56303
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Other Identifiers 4

Medicare ID-Type UnspecifiedC07591MN
Other54575LAMN · Blue Cross
Medicaid221523300MN
OtherC01527Railroad Medicare

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 Aspirus Health Plan, HealthPartners, Medica and more.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)

St Cloud Eye Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to St Cloud Eye Clinic PA, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Bradley Anderson, MD
Ophthalmology
NPI 1548258221
2055 15TH ST N
Saint Cloud, MN 56303
(320) 251-1432
✔ PECOS✔ Accepts MedicareSame address
Derek Bonacci, O.D.
Optometry
NPI 1356572804
2055 15TH ST N
Saint Cloud, MN 56303
(320) 251-1432
✔ PECOS✔ Accepts MedicareSame address
Peter Downie, MD
Ophthalmology
NPI 1902548332
2055 15TH ST N
Saint Cloud, MN 56303
(320) 251-1432
✔ PECOSSame address
Mitchell Harstad, OD
Optometry
NPI 1396733143
2055 15TH ST N
Saint Cloud, MN 56303
(320) 251-1432
✔ PECOS✔ Accepts MedicareSame address
Richard Lucius, MD
Ophthalmology
NPI 1083602783
2055 15TH ST N
Saint Cloud, MN 56303
(320) 251-1432
✔ PECOS✔ Accepts MedicareSame address
Joel Nelson, D.O.
Ophthalmology
NPI 1043650575
2055 15TH ST N
Saint Cloud, MN 56303
(320) 251-1432
✔ PECOS✔ Accepts MedicareSame address

Source: 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 St Cloud Eye Clinic PA's NPI number?

The NPI number for St Cloud Eye Clinic PA is 1538157805. It was assigned to this organization in the NPPES registry on October 11, 2005.

Where is St Cloud Eye Clinic PA located?

St Cloud Eye Clinic PA is located at 2055 15th St N, Saint Cloud, MN 56303. The listed phone number is (320) 251-1432.

What is St Cloud Eye Clinic PA's specialty?

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

Is St Cloud Eye Clinic PA enrolled in Medicare?

Yes. St Cloud Eye Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Cloud Eye Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to St Cloud Eye Clinic 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. The largest specialties are Ophthalmology (4) and Optometry (2). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Cloud Eye Clinic PA accept?

Health plans from Aspirus Health Plan, HealthPartners, Medica and Sanford Health Plan list St Cloud Eye Clinic 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 St Cloud Eye Clinic PA was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.