Minnesota Optical LLC

A Medicare group practice based in Elk River, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1557528841), with 14 clinicians.

Medicare enrollment

PAC ID: 1557528841The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type: DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in: MN
Enrollments: 2
Group size: 5 cliniciansAs Care Compare reports it
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Practice locations: 2In 1 place

Enrollment ID	State	Provider type	NPI
O20120221000953	MN	Part B Supplier - Clinic/Group Practice	1831303437
O20120127000701	MN	DME Supplier - Physician - Optometrist	1831303437

These NPI records belong to the same enrolled organization. Each has its own page.

Locations on the Medicare enrollment

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (5).

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.