STAPLES EYE CLINIC PSC
NPI 1821366683
Optometrist in Staples, MN
About Staples Eye Clinic Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STAPLES EYE CLINIC PSC (NPI 1821366683) is a healthcare organization registered as an optometrist in Staples, Minnesota and active in the NPI registry since December 2011. The organization lists Seth Alan Dokken, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Staples Eye Clinic Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Staples Eye Clinic Psc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Staples Eye Clinic carries, from the Medicare DMEPOS supplier directory.
Staples Eye Clinic
DMEPOS supplier · Staples, MNOperated by Staples Eye Clinic PscAccepts Medicare assignment
Staples Eye Clinic 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.
Medicare Product Categories
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 Staples Eye Clinic Psc's NPI number?
The NPI number for Staples Eye Clinic Psc is 1821366683. It was assigned to this organization in the NPPES registry on December 8, 2011.
Where is Staples Eye Clinic Psc located?
Staples Eye Clinic Psc is located at 922 Us 10 East, Staples, MN 56479. The listed phone number is (218) 894-1331.
What is Staples Eye Clinic Psc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Staples Eye Clinic Psc enrolled in Medicare?
Yes. Staples Eye Clinic Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Staples Eye Clinic Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Staples Eye Clinic Psc. 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.
Does Staples Eye Clinic Psc accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Staples Eye Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
When was this NPI record last updated?
The NPPES record for Staples Eye Clinic Psc was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Staples Eye Clinic Psc · NPI 1821366683
Optometrist organization in Staples, Minnesota. Organization record, active in the CMS NPPES registry since December 8, 2011.
## Identity
- **NPI:** 1821366683 (Entity type: Organization)
- **Enumerated:** December 8, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Seth Dokken, PRESIDENT
## Practice location
- **Address:** 922 US 10 EAST, Staples, MN 56479
- **Phone:** (218) 894-1331 · **Fax:** (218) 895-1332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 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:** May 8, 2019
- **Other identifiers:** Medicaid 2334531 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1821366683) · Data from the CMS NPPES public registry.