M HEALTH FAIRVIEW CLINIC - EAGAN
NPI 1750833562
Eyewear Supplier in Eagan, MN
NPI Status: Active since October 27, 2016
Contact Information
3305 CENTRAL PARK VILLAGE DR
SUITE 160
EAGAN, MN
ZIP 55121
Phone: (651) 405-5801
Fax: (651) 405-5801
- Organization
- Eyewear Supplier
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 24D0858026
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-21-2028
About M HEALTH FAIRVIEW CLINIC - EAGAN
This page provides the complete NPI Profile along with additional information for M Health Fairview Clinic - Eagan, a provider established in Eagan, Minnesota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1750833562 assigned on October 2016. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is M Health Fairview Clinic - Eagan. The authorized official of this NPI record is Robert Andrew Mccoy (Vp Revenue Management)
- NPI
- 1750833562
- Provider Legal Name
- FAIRVIEW EXPRESS CARE
- Other Organization Name
- M HEALTH FAIRVIEW CLINIC - EAGAN
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3305 CENTRAL PARK VILLAGE DR SUITE 160 EAGAN, MN 55121
- Location Phone
- (651) 405-5801
- Location Fax
- (651) 405-5801
- Mailing Address
- 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-27-2016
- Last Update Date
- 12-15-2020
- Code Navigator
M Health Fairview Clinic - Eagan is a medicare supplier with PTAN 20411357 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20411357
- Accepts Medicare Assignment
- NO
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D0858026
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 22, 2026
- Certificate Expiration Date
- April 21, 2028
- Laboratory Director
- CARON GOLL
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to M Health Fairview Clinic - Eagan on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1750833562, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
EAGAN, MN 55121
EAGAN, MN 55121
EAGAN, MN 55121
EAGAN, MN 55121
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750833562, enumerated as an "organization" on October 27, 2016.
The provider is located at 3305 CENTRAL PARK VILLAGE DR SUITE 160 EAGAN, MN 55121 and the phone number is (651) 405-5801.
Eyewear Supplier with taxonomy code 332H00000X.
The provider might be accepting Accepts: Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
