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ACADEMY CONTACT LENS CLINIC
NPI 1639202559
Optometrist in New Brighton, MN

Active since March 13, 2007
2655 INNSBRUCK DR, SUITE B, NEW BRIGHTON, MN 55112(651) 636-2020(651) 633-5036 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Academy Contact Lens Clinic NPPES

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

ACADEMY CONTACT LENS CLINIC (NPI 1639202559) is a healthcare organization registered as an optometrist in New Brighton, Minnesota and active in the NPI registry since March 2007. The organization lists John Mark Cavanagh, President, as its authorized official.

NPPES Registry Identity

NPI1639202559
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameACADEMY CONTACT LENS CLINIC
Location Address2655 INNSBRUCK DR, SUITE BNew Brighton, MN 55112-9303
Mailing Address2655 Innsbruck Dr, Suite BNew Brighton, MN 55112-9303 · (651) 636-2020 · Fax (651) 633-5036
Phone(651) 636-2020
Fax(651) 633-5036
Organization SubpartNo
Authorized OfficialJohn Mark CavanaghPresident · (651) 636-2020
Enumeration DateMarch 13, 2007
Last NPPES UpdateMarch 18, 2009
✔ NPI 1639202559 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 · 2236
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.
2655 INNSBRUCK DR, New Brighton, MN 55112
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Other Identifiers 4

Medicare UPINT90870MN
Medicare PINC01706MN
Medicare PIN309990001MN
Medicare NSC0163510001MN

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 Blue Cross and Blue Shield of Louisiana, HealthPartners.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)

Academy Contact Lens Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Academy Contact Lens Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Cavanagh, O.D.
Optometry
NPI 1205921368
2655 INNSBRUCK DR SUITE B
New Brighton, MN 55112
(651) 636-2020
✔ 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 Academy Contact Lens Clinic's NPI number?

The NPI number for Academy Contact Lens Clinic is 1639202559. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Academy Contact Lens Clinic located?

Academy Contact Lens Clinic is located at 2655 Innsbruck Dr Suite B, New Brighton, MN 55112. The listed phone number is (651) 636-2020.

What is Academy Contact Lens Clinic's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Academy Contact Lens Clinic enrolled in Medicare?

Yes. Academy Contact Lens Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Academy Contact Lens Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Academy Contact Lens Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Academy Contact Lens Clinic accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HealthPartners list Academy Contact Lens Clinic 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 Academy Contact Lens Clinic was last updated on March 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.