MINNESOTA EYE CONSULTANTS, PA
NPI 1861465064
Ophthalmology in Maplewood, MN

Active since February 08, 2006
1965 11TH AVE E, SUITE 102, MAPLEWOOD, MN 55109(952) 888-5800(651) 748-4445 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Minnesota Eye Consultants, Pa NPPES

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

MINNESOTA EYE CONSULTANTS, PA (NPI 1861465064) is a healthcare organization registered as an ophthalmology in Maplewood, Minnesota and active in the NPI registry since February 2006. The organization lists Brent L Wilde, President, as its authorized official.

NPPES Registry Identity

NPI1861465064
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMINNESOTA EYE CONSULTANTS, PA
Location Address1965 11TH AVE E, SUITE 102Maplewood, MN 55109-5167
Mailing Address9801 Dupont Ave S, Suite 425Bloomington, MN 55431-3100 · (952) 888-5800 · Fax (952) 567-6156
Fax(651) 748-4445
Organization SubpartNo
Authorized OfficialBrent L WildePresident · (952) 888-5800
Enumeration DateFebruary 8, 2006
Last NPPES UpdateFebruary 22, 2017
NPI 1861465064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 24D2023181 (MN)
Also ListedEyewear SupplierTaxonomy 332H00000X
1965 11TH AVE E, Maplewood, MN 55109

Other Identifiers 5

Other24D2023181MN · Clia
OtherCG8516MN · Rr Medicare Group Number
Medicare PINC02541MN
Medicare NSC1250440019MN
Medicaid680090400MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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
Optometrist
1965 11TH AVE E, SUITE 101
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 Minnesota Eye Consultants, PA's NPI number?

The NPI number for Minnesota Eye Consultants, PA is 1861465064. It was assigned to this organization in the NPPES registry on February 8, 2006.

Where is Minnesota Eye Consultants, PA located?

Minnesota Eye Consultants, PA is located at 1965 11th Ave E Suite 102, Maplewood, MN 55109. The listed phone number is (952) 888-5800.

What is Minnesota Eye Consultants, PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Minnesota Eye Consultants, PA was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.