PETER LLOYD VATNSDAL O.D.
NPI 1639430689
Optometrist in Roseau, MN

Q: What is Peter Vatnsdal's NPI number?

The NPI number for Peter Vatnsdal is 1639430689. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Q: What is Peter Vatnsdal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peter Vatnsdal was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 06, 2012PECOS Enrolled

306 MAIN AVE N, ROSEAU, MN 56751(218) 463-2020 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Peter Lloyd Vatnsdal O.d. NPPES

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

PETER LLOYD VATNSDAL O.D. (NPI 1639430689) is an individual optometrist in Roseau, Minnesota, licensed in Minnesota (3286) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2012).

NPPES Registry Identity

NPI1639430689

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NamePETER LLOYD VATNSDALCredential: O.D.

Location Address306 MAIN AVE NRoseau, MN 56751-1820

Mailing Address104 Oak Crest BlvdRoseau, MN 56751-2300

Phone(218) 463-2020

Sole ProprietorNo

Medical School CMSIndiana University - School Of OptometryGraduated 2012

Enumeration DateJune 6, 2012

✔ NPI 1639430689 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 · 3286

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.

306 MAIN AVE N, Roseau, MN 56751

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Lloyd Vatnsdal O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355599986

PECOS Enrollment IDI20120924000382

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Peter Vatnsdal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roseau Warroad Eye Clinic PA

0.4 mi

Optometrist

306 MAIN AVE N
Roseau, MN 56751

Reassigned Medicare billing, Minnesota enrollment
2 clinicians in this Medicare group

NPI 1396148839 (218) 463-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

1,612 services11 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

122 services122 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

44 services43 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

43 services43 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

37 services27 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56751 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

ROSEAU WARROAD EYE CLINIC PA

Optometrist

306 MAIN AVE N
ROSEAU, MN 56751

Roseau County (218) 463-2020

ROSS OLSON

Optometrist

306 MAIN AVE N
ROSEAU, MN 56751

Roseau County (218) 463-2020

ANGELA YEE O.D.

Optometrist

306 MAIN AVE N
ROSEAU, MN 56751

Roseau County (218) 463-2020

DEVAUGHN ERICKSON O.D.

Optometrist

306 MAIN AVE N
ROSEAU, MN 56751

Roseau County (218) 463-2020

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 Peter Vatnsdal's NPI number?

The NPI number for Peter Vatnsdal is 1639430689. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Peter Vatnsdal located?

Peter Vatnsdal practices at 306 Main Ave N, Roseau, MN 56751. The listed phone number is (218) 463-2020.

What is Peter Vatnsdal's specialty?

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

Is Peter Vatnsdal enrolled in Medicare?

Yes. Peter Vatnsdal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Vatnsdal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Vatnsdal reassigns Medicare benefits to Roseau Warroad Eye Clinic PA (Roseau, MN). The 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 Peter Vatnsdal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Vatnsdal accept?

Health plans from Sanford Health Plan list Peter Vatnsdal 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 Peter Vatnsdal was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.