Total Eye Care LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

TOTAL EYE CARE LLC

Doing business as

Total Eye Care LLC

Practice address

5200 Fairview Blvd
Wyoming, MN 55092-8013

Phone

(651) 257-8421

Fax

(651) 257-8464

NPI assigned

Feb 1, 2007

Last updated

Jul 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Randby

Title

Billing

Phone

(651) 213-3369

Specialties & licenses 2

Addresses

Other names 1

• Total Eye Care LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Total Eye Care LLC

  • Eyewear Supplier
  • North Branch, MN
  • NPI 1972937506

  8022075142

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Total Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Total Eye Care LLC

  • Eyewear Supplier
  • North Branch, MN
  • NPI 1972937506
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Bhavsar, M.D.

  • Ophthalmology Physician
  • Blaine, MN
  • NPI 1447205810
  Medicare reassignment Care Compare group NPD
• Michael Donald Eichler, MD

  • Ophthalmology Physician
  • Wyoming, MN
  • NPI 1164462081
  Medicare reassignment Care Compare group NPD
• Gunnar Jon Erickson, M.D.

  • Ophthalmology Physician
  • Wyoming, MN
  • NPI 1528061371
  Medicare reassignment Care Compare group NPD
• Todd C Kavanagh, OD

  • Optometrist
  • Wyoming, MN
  • NPI 1518956655
  Medicare reassignment Care Compare group NPD
• Jarrod Allen Nelson, O.D.

  • Optometrist
  • North Branch, MN
  • NPI 1487785499
  Medicare reassignment Care Compare group NPD
• David M Sawyer

  • Optometrist
  • Elk River, MN
  • NPI 1285661207
  Medicare reassignment Care Compare group NPD
• Charles Joseph Kopp, OD

  • Optometrist
  • Blaine, MN
  • NPI 1366855629
  Medicare reassignment NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1124166558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 STINSON AVE",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139542",
            "telephone_number": "651-257-8421",
            "fax_number": "651-257-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 FAIRVIEW BLVD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928013",
            "telephone_number": "651-257-8421",
            "fax_number": "651-257-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "RANDBY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "651-213-3369"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Eye Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Eye Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stuart E Sybesma, MD
• Jessica A Szmanda, LPCC, LADC
• Todd Michael Thieman
• Sally Thurnbeck
• Matthew David Torgeson, D.O.
• Total Renal Care Inc (Wyoming Dialysis)
• Mark G Trainor, MD
• Antonette Trapp, APRN
• Donna Turnquist
• Megan Veenstra

• Ophthalmology Physician in Wyoming, MN
• Providers in Wyoming, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.