MOOSE LAKE EYE CARE LLC
NPI 1548580228
Optometrist in Moose Lake, MN

Active since June 04, 2010CLIA 24D2093833 · Waiver
312 ELM AVE, MOOSE LAKE, MN 55767(218) 485-8495(218) 485-8498 Get Directions Write a Review

NPPES record last updated: June 4, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1548580228
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMOOSE LAKE EYE CARE LLC
Location Address312 ELM AVEMoose Lake, MN 55767-7706
Mailing Address312 Elm AveMoose Lake, MN 55767-7706 · (218) 485-8495 · Fax (218) 485-8498
Fax(218) 485-8498
Organization SubpartNo
Authorized OfficialSasha Niranjali NarayanPresident · (218) 485-8495
Enumeration DateJune 4, 2010
NPI 1548580228 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 · 2979
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.
312 ELM AVE, Moose Lake, MN 55767

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

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, MN
Active · expires Apr 5, 2027
CLIA Number24D2093833
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorSasha N. Narayan
Laboratory Phone(218) 485-8495
Laboratory LocationMoose Lake Eye Care312 Elm Ave, Moose Lake, MN 55767
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical 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 LLC

Accepts 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.

PTAN (Medicare Supplier Number)20533241
Medicare Participant SinceDecember 1, 2010
Supplier Location312 Elm AveMoose Lake, MN 55767
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

Optometrist
312 ELM AVE
MOOSE LAKE, MN 55767
Optometrist
312 ELM AVE
MOOSE LAKE, MN 55767

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.

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.

What insurance does Moose Lake Eye Care LLC accept?

Health plans from Medica list Moose Lake Eye Care 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 Moose Lake Eye Care LLC was last updated on June 4, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.