Individual provider Active NPI

Afira Hasan, O.D.

  • Ophthalmology Physician
  • Eden Prairie, MN
National Provider Identifier
1073534913
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MN3038 Issued in MN
Practice address
9896 Pincherry LN
Eden Prairie, MN 55347-1127
Phone
(952) 944-2999
NPI assigned
Jul 23, 2006
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MN3038 MN Primary

Addresses

Primary practice location

9896 Pincherry LN
Eden Prairie, MN 55347-1127

Mailing address

5266 W 74TH St
Edina, MN 55439-2223
Phone (952) 486-7858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000226 MN Practitioner - Optometry 2062422074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afira Hasan OD PLLCGroup PAC ID 1153654678, 3 clinicians

Practice addresses (Care Compare)

7731 Flying Cloud Dr
Eden Prairie, MN 55344-3708
Phone (952) 486-7858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MN3038MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perspectives Optometric Vision Clinic, PC Optometrist CurrentSince Jul 2, 2013 Accepting new patients
Afira Hasan, O.D., PLLC Optometrist CurrentSince May 11, 2019 Accepting new patients

Locations

7731 Flying Cloud Dr
Eden Prairie, MN 55344
Phone (952) 334-1034

5266 W 74th St
Edina, MN 55439
Phone (952) 486-7858

3102 W 50th St
Minneapolis, MN 55410
Phone (612) 920-3938

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1073534913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 W 74TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392223",
            "telephone_number": "952-486-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 PINCHERRY LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471127",
            "telephone_number": "952-944-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "AFIRA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "MN3038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.