Active NPI
Mario Romano, OD
- Optometrist
- Eden Prairie, MN
National Provider Identifier
1104750397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4066
- Practice address
- 8251 Flying Cloud Dr
Eden Prairie, MN 55344-5350 - Phone
- (952) 829-7812
- NPI assigned
- Jun 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4066 | MN | Primary |
Addresses
Primary practice location
8251 Flying Cloud Dr
Eden Prairie, MN 55344-5350
Mailing address
PO Box 1
Bronx, NY 10453-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19100 Ridgewood Pkwy
San Antonio, TX 78259-1828
19100 Ridgewood Pkwy
BLDG 1 7TH Floor
San Antonio, TX 78259-0001
1982 University Ave
Apt 5B
Bronx, NY 10453
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1104750397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1",
"city": "BRONX",
"state": "NY",
"postal_code": "104530001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8251 FLYING CLOUD DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445350",
"telephone_number": "952-829-7812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANO",
"first_name": "MARIO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-11",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "4066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.