Individual provider Active NPI

Eugene O Gullingsrud, M.D.

  • Ophthalmology Physician
  • Minnetonka, MN
National Provider Identifier
1114994589
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
37798 Issued in MN
Practice address
10709 Wayzata Blvd Ste 200
Minnetonka, MN 55305-5509
Phone
(952) 888-5800
Fax
(952) 567-6156
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 37798 MN Primary

Addresses

Primary practice location

10709 Wayzata Blvd Ste 200
Minnetonka, MN 55305-5509

Mailing address

8170 33Rd Ave S
Bloomington, MN 55425-4516
Phone (952) 541-2800

Other practice location 1

8600 Nicollet Ave S
Bloomington, MN 55420-2824
Phone (952) 541-2800

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000164 MN Practitioner - Ophthalmology 2860433000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Eye Consultants, PAGroup PAC ID 4284524539, 34 clinicians

Practice addresses (Care Compare)

9801 Dupont Ave S
Suite 200
Bloomington, MN 55431-3200
Phone (952) 888-5800

Merit-based Incentive Payment System (MIPS)

Final score
80.11 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37798MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edina Eye Physicians and Surgeons PA Ophthalmology Current Accepting new patients
Minnesota Eye Consultants, PA Ophthalmology CurrentSince Mar 28, 2022 Accepting new patients
Edina Eye Physicians and Surgeons PA Ophthalmology CurrentSince Jun 1, 1998 Accepting new patients
Edina Eye Physicians and Surgeons PA Ophthalmology CurrentSince Jun 1, 1998 Accepting new patients

Locations

7450 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (952) 832-8100

9801 DuPont Ave S
Ste 425
Minneapolis, MN 55431
Phone (952) 567-6092

9801 DuPont Ave S
Ste 200
Minneapolis, MN 55431

10709 Wayzata Blvd
Ste 200
Minnetonka, MN 55305

7125 Tamarack Rd
Ste 100
Woodbury, MN 55125

Interoperability endpoints

  • Direct secure messaging: egullingsrud@uvpmec.intellechartdirect.net

Organizations & group practices 4

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1114994589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-541-2800",
            "fax_number": "952-886-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 WAYZATA BLVD STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055509",
            "telephone_number": "952-888-5800",
            "fax_number": "952-567-6156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Nicollet Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554202824",
            "country_code": "US",
            "telephone_number": "952-541-2800",
            "fax_number": "952-886-7015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULLINGSRUD",
        "first_name": "EUGENE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "37798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.