Individual provider Active NPI

Trisha Urschel, O.D.

  • Optometrist
  • Eden Prairie, MN
National Provider Identifier
1124464045
Registry record updated May 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2304 Issued in MN
Practice address
2024 Eden Prairie Ctr
Eden Prairie, MN 55344-6035
Phone
(952) 944-3131
NPI assigned
May 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2304 MN Primary

Addresses

Primary practice location

2024 Eden Prairie Ctr
Eden Prairie, MN 55344-6035

Mailing address

6415 Mere Dr
Eden Prairie, MN 55346-2309
Phone (952) 975-9282

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
I20040811000304 MN Practitioner - Optometry 0244202125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
May accept Medicare assignment
Group practices
I M I S Minnesota IncGroup PAC ID 9335268754, 4 clinicians

Practice addresses (Care Compare)

1601 Plymouth Rd
Minnetonka, MN 55305-1956
Phone (952) 546-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2304MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Associates, LTD. CurrentSince Oct 27, 2017 Accepting new patients
I M I S Minnesota Inc Optometrist CurrentSince Oct 27, 2017 Accepting new patients
I M I S Minnesota Inc Optometrist Past Accepting new patients

Locations

8251 Flying Cloud Dr
Ste 2028
Eden Prairie, MN 55344
Phone (952) 944-3131

1601 Plymouth Rd
Minnetonka, MN 55305
Phone (952) 546-4414

Organizations & group practices 3

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": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368835200000",
    "number": "1124464045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 MERE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462309",
            "telephone_number": "952-975-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 EDEN PRAIRIE CTR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553446035",
            "telephone_number": "952-944-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSCHEL",
        "first_name": "TRISHA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-18",
        "last_updated": "2013-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.