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DR. JUSTIN BOHNSACK OD
NPI 1821830019
Optometrist in Saint Michael, MN

Active since June 10, 2024PECOS EnrolledAccepts Medicare Assignment
1 CENTRAL AVE W STE 104, SAINT MICHAEL, MN 55376(375) 476-3497 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Justin Bohnsack Od NPPES

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

DR. JUSTIN BOHNSACK OD (NPI 1821830019) is an individual optometrist in Saint Michael, Minnesota, licensed in Minnesota (3943) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rogers, and is a graduate of University Of Missouri St Louis - School Of Optometry (2024).

NPPES Registry Identity

NPI1821830019
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JUSTIN BOHNSACKCredential: OD
Location Address1 CENTRAL AVE W STE 104Saint Michael, MN 55376-4590
Mailing Address1 Central Ave W Ste 104Saint Michael, MN 55376-4590
Phone(375) 476-3497
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2024
Enumeration DateJune 10, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1821830019 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 · 3943
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.
1 CENTRAL AVE W STE 104, Saint Michael, MN 55376
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Secondary Practice Location 1

Location 113900 Northdale BlvdRogers, MN 55374-9627 · Phone (763) 428-3757

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence 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 and accepts Medicare assignment

Dr. Justin Bohnsack Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426595463
PECOS Enrollment IDI20240807004155
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 Justin Bohnsack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

D. Stanton Enterprises, LLC
5.5 mi
Optometrist
13900 NORTHDALE BOULEVARD
Rogers, MN 55374
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 clinicians in this Medicare group
NPI 1063594109 (763) 428-3757

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55376 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.

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 Justin Bohnsack's NPI number?

The NPI number for Justin Bohnsack is 1821830019. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Justin Bohnsack located?

Justin Bohnsack practices at 1 Central Ave W Ste 104, Saint Michael, MN 55376. The listed phone number is (375) 476-3497.

What is Justin Bohnsack's specialty?

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

Is Justin Bohnsack enrolled in Medicare?

Yes. Justin Bohnsack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Justin Bohnsack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Bohnsack reassigns Medicare benefits to D. Stanton Enterprises, LLC (Rogers, 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 Justin Bohnsack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Bohnsack accept?

Health plans from HealthPartners and Providence Health Plan list Justin Bohnsack 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 Justin Bohnsack was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.