ANNANDALE EYE CLINIC
NPI 1629148614
Optometrist in Annandale, MN
About Annandale Eye Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNANDALE EYE CLINIC (NPI 1629148614) is a healthcare organization registered as an optometrist in Annandale, Minnesota and active in the NPI registry since November 2006. The organization lists Terrence Lee Tancabel, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Annandale Eye Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Annandale Eye Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Annandale Eye Clinic Inc's NPI number?
The NPI number for Annandale Eye Clinic Inc is 1629148614. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Annandale Eye Clinic.
Where is Annandale Eye Clinic Inc located?
Annandale Eye Clinic Inc is located at 500 Elm St E, Annandale, MN 55302. The listed phone number is (320) 274-3701.
What is Annandale Eye Clinic Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Annandale Eye Clinic Inc enrolled in Medicare?
Yes. Annandale Eye Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Annandale Eye Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Annandale Eye Clinic Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Annandale Eye Clinic Inc accept?
Health plans from HealthPartners and Medica list Annandale Eye Clinic 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 Annandale Eye Clinic Inc was last updated on August 22, 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.
# Annandale Eye Clinic · NPI 1629148614
Optometrist organization in Annandale, Minnesota. Organization record, active in the CMS NPPES registry since November 8, 2006.
## Identity
- **NPI:** 1629148614 (Entity type: Organization)
- **Enumerated:** November 8, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Annandale Eye Clinic Inc
- **Organization subpart:** No
- **Authorized official:** Terrence Tancabel, OWNER
## Practice location
- **Address:** 500 ELM ST E, Annandale, MN 55302
- **Phone:** (320) 274-3701 · **Fax:** (320) 274-3784
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 230R3TA (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1629148614) · Data from the CMS NPPES public registry.