EYE CARE CENTER
NPI 1730203597
Optometrist in Maplewood, MN

Active since March 19, 2007CLIA 24D2031738 · Waiver
1965 11TH AVE E, SUITE 101, MAPLEWOOD, MN 55109(651) 777-3555(651) 777-4459 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eye Care Center NPPES

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

EYE CARE CENTER (NPI 1730203597) is a healthcare organization registered as an optometrist in Maplewood, Minnesota and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Gregory W Kraupa, President, as its authorized official.

NPPES Registry Identity

NPI1730203597
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOPTOMETRIC EYE CARE CENTERS, PA
Location Address1965 11TH AVE E, SUITE 101Maplewood, MN 55109-5167
Mailing Address1965 11th Ave E, Suite 101Maplewood, MN 55109-5167 · (651) 777-3555 · Fax (651) 777-4459
Fax(651) 777-4459
Organization SubpartNo
Authorized OfficialGregory W KraupaPresident · (651) 777-3555
Enumeration DateMarch 19, 2007
Last NPPES UpdateApril 8, 2008
NPI 1730203597 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 · 1635
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.
1965 11TH AVE E, Maplewood, MN 55109

Other Names 1

Doing Business AsEye Care Center

Other Identifiers 6

Other2115755MN · Medica Mn
Medicaid581713700MN
Other08072KRMN · Bcbs Of Mn Practice Grp
Medicare PINCI3374MN
Medicare NSC0165150001MN
Medicare ID-Type UnspecifiedC01332MN · Practice Group Number

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 24D2031738

Eye Care Center · Saint Paul, MN
Active · expires Oct 25, 2027
CLIA Number24D2031738
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorTina Mccarty
Laboratory Phone(651) 777-3555
Laboratory LocationEye Care Center1965 11th Avenue East #101, Saint Paul, MN 55109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Optometric Eye Care C carries, from the Medicare DMEPOS supplier directory.

Optometric Eye Care C

DMEPOS supplier · Maplewood, MNOperated by Optometric Eye Care Centers, PA

Accepts Medicare assignment

Optometric Eye Care C 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)20676803
Medicare Participant SinceJanuary 1, 1987
Supplier Location1965 11th Ave EMaplewood, MN 55109
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
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 3

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

Optometrist
1965 11TH AVE E
MAPLEWOOD, MN 55109
Ophthalmology
1965 11TH AVE E, SUITE 102
MAPLEWOOD, MN 55109
Optometrist
1965 11TH AVE E
MAPLEWOOD, MN 55109

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 Optometric Eye Care Centers, PA's NPI number?

The NPI number for Optometric Eye Care Centers, PA is 1730203597. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Eye Care Center.

Where is Optometric Eye Care Centers, PA located?

Optometric Eye Care Centers, PA is located at 1965 11th Ave E Suite 101, Maplewood, MN 55109. The listed phone number is (651) 777-3555.

What is Optometric Eye Care Centers, PA's specialty?

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

Does Optometric Eye Care Centers, PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Optometric Eye Care C accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Optometric Eye Care Centers, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2031738) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optometric Eye Care Centers, PA accept?

Health plans from HealthPartners and Medica list Optometric Eye Care Centers, PA 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 Optometric Eye Care Centers, PA was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.