MOOSE LAKE EYE CARE LLC
NPI 1548580228
Optometrist in Moose Lake, MN
About Moose Lake Eye Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOOSE LAKE EYE CARE LLC (NPI 1548580228) is a healthcare organization registered as an optometrist in Moose Lake, Minnesota and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Sasha Niranjali Narayan, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moose Lake Eye Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Moose Lake Eye Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2093833
Moose Lake Eye Care · Moose Lake, MNMedical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Northern Minnesota Eye Care LLC carries, from the Medicare DMEPOS supplier directory.
Northern Minnesota Eye Care LLC
DMEPOS supplier · Moose Lake, MNOperated by Moose Lake Eye Care LLCAccepts Medicare assignment
Northern Minnesota Eye Care LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 Moose Lake Eye Care LLC's NPI number?
The NPI number for Moose Lake Eye Care LLC is 1548580228. It was assigned to this organization in the NPPES registry on June 4, 2010.
Where is Moose Lake Eye Care LLC located?
Moose Lake Eye Care LLC is located at 312 Elm Ave, Moose Lake, MN 55767. The listed phone number is (218) 485-8495.
What is Moose Lake Eye Care LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Moose Lake Eye Care LLC enrolled in Medicare?
Yes. Moose Lake Eye Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moose Lake Eye Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Moose Lake Eye Care 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Moose Lake Eye Care LLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Northern Minnesota Eye Care LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Moose Lake Eye Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2093833) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Moose Lake Eye Care LLC was last updated on June 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Moose Lake Eye Care Llc · NPI 1548580228
Optometrist organization in Moose Lake, Minnesota. Organization record, active in the CMS NPPES registry since June 4, 2010.
## Identity
- **NPI:** 1548580228 (Entity type: Organization)
- **Enumerated:** June 4, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Sasha Narayan, PRESIDENT
## Practice location
- **Address:** 312 ELM AVE, Moose Lake, MN 55767-7706
- **Phone:** (218) 485-8495 · **Fax:** (218) 485-8498
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548580228) · Data from the CMS NPPES public registry.