Individual provider Active NPI

Madeline Elmland, OD

  • Optometrist
  • Minneapolis, MN
National Provider Identifier
1104491687
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3725 Issued in MN
Practice address
3102 W 50TH St
Minneapolis, MN 55410-2101
Phone
(833) 969-1228
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3725 MN Primary

Addresses

Primary practice location

3102 W 50TH St
Minneapolis, MN 55410-2101

Mailing address

3102 W 50TH St
Minneapolis, MN 55410-2101

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
I20260226001154 MN Practitioner - Optometry 2062814494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perspectives Optometric Vision Clinic, PCGroup PAC ID 8426135757, 3 clinicians

Practice addresses (Care Compare)

3102 W 50TH St
Minneapolis, MN 55410-2101
Phone (612) 920-3938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1104491687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 W 50TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102101",
            "fax_number": "910-451-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 W 50TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102101",
            "telephone_number": "833-969-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMLAND",
        "first_name": "MADELINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.