Spectacle Shoppe Inc
A Medicare group practice based in Saint Paul, MN: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1153447453), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1153447453
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100923001128 | MN | Part B Supplier - Clinic/Group Practice | 1588700157 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Spectacle Shoppe Inc.
- Optometrist
- New Brighton, MN
- NPI 1588700157
-
Spectacle Shoppe Inc.
- Optometrist
- St Louis Park, MN
- NPI 1568118545
-
The Spectacle Shoppe Inc
- Optometrist
- Burnsville, MN
- NPI 1235457722
-
The Spectacle Shoppe Inc
- Optometrist
- Saint Paul, MN
- NPI 1912224767
Practice locations
- Minneapolis, MN1
- New Brighton, MN1
- St Louis Park, MN1
- Saint Paul, MN1
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (4).
-
Tyler Kenneth Baars, OD
- Optometrist
- MPLS, MN
- NPI 1861747305
-
James Brekke, OD
- Optometrist
- Woodbury, MN
- NPI 1134291487
-
Jacob Erickson, O.D.
- Optometrist
- Saint Paul, MN
- NPI 1700370749
-
Michael Peter Krysiak, O.D.
- Optometrist
- Minneapolis, MN
- NPI 1629112198
-
Timothy Nelson, OD
- Optometrist
- Maple Grove, MN
- NPI 1215091616
-
Angella Schaefer, O.D.
- Optometrist
- Faribault, MN
- NPI 1073900718
-
Lee W. Schneider, O.D.
- Optometrist
- Rochester, MN
- NPI 1598114530
-
Wing Man Yip, OD
- Optometrist
- Chicago, IL
- NPI 1114373560
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.