The Eye Doctors Office PA
A Medicare group practice based in Wayzata, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294720777), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5294720777
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040415000295 | MN | Part B Supplier - Clinic/Group Practice | 1962527754 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Minneapolis, MN1
- Wayzata, MN1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (2).
-
Timothy P Haupert, O.D.
- Optometrist
- Wayzata, MN
- NPI 1780777383
-
Brett Michael Hollenbach
- Optometrist
- Columbus, OH
- NPI 1669953873
-
Caroline Paige St Ores
- Optometrist
- Chanhassen, MN
- NPI 1649963752
-
Victoria Whitman
- Optometrist
- Chicago, IL
- NPI 1134538903
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.