Individual provider Active NPI

Thomas L Elton, OD

  • Corneal and Contact Management Optometrist
  • Edina, MN
National Provider Identifier
1134416605
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3231 Issued in MN
Practice address
7000 York Ave S
Edina, MN 55435-4213
Phone
(952) 929-1159
Fax
(952) 922-9308
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3231 MN Primary

Addresses

Primary practice location

7000 York Ave S
Edina, MN 55435-4213

Mailing address

PO Box 1170
Maple Grove, MN 55311-6170
Phone (763) 746-2094

Other practice location 1

6445 Richfield Pkwy
Richfield, MN 55423-6400
Phone (612) 861-0259

Other practice location 2

18275 Kenrick Ave
Lakeville, MN 55044-7306
Phone (952) 892-5400

Other practice location 3

8900 Highway 7
St Louis Park, MN 55426-3919
Phone (953) 935-1913

Other practice location 4

851 W 78th St
Chanhassen, MN 55317-9579
Phone (952) 474-3649

Other practice location 5

15800 87th St NE
Otsego, MN 55330-6546
Phone (763) 441-3824

Other practice location 6

14333 Highway 13 S
Savage, MN 55378-2153
Phone (952) 226-1412

Other practice location 7

21615 S Diamond Lake Rd
Rogers, MN 55374-8893
Phone (763) 428-4831

Other identifiers 1

IdentifierTypeStateIssuer
3231OtherMNMN OD LICENSE

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
I20110822000151 MN Practitioner - Optometry 6800066283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Eye Care PAGroup PAC ID 9032455936, 13 clinicians

Practice addresses (Care Compare)

7000 York Ave S
Edina, MN 55435-4213
Phone (952) 922-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Eye Care, PA CurrentSince Jun 1, 2019 Accepting new patients

Locations

11990 Business Park Blvd N
Champlin, MN 55316
Phone (763) 354-1006

851 W 78th St
Chanhassen, MN 55317
Phone (952) 252-1208

400 Water St
Ste 105
Excelsior, MN 55331
Phone (320) 247-2139

18275 Kenrick Ave
Lakeville, MN 55044
Phone (952) 892-0028

7000 York Ave S
Minneapolis, MN 55435
Phone (952) 922-8118

15800 87th St NE
Otsego, MN 55330
Phone (763) 252-1316

6445 Richfield Pkwy
Richfield, MN 55423
Phone (612) 243-0201

21615 S Diamond Lake Rd
Rogers, MN 55374
Phone (763) 428-4831

14333 Highway 13 S
Savage, MN 55378
Phone (952) 226-1411

8900 Highway 7
St Louis Park, MN 55426
Phone (952) 933-4858

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1134416605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1170",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553116170",
            "telephone_number": "763-746-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 YORK AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354213",
            "telephone_number": "952-929-1159",
            "fax_number": "952-922-9308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6445 Richfield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554236400",
            "country_code": "US",
            "telephone_number": "612-861-0259",
            "fax_number": "612-243-0204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18275 Kenrick Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550447306",
            "country_code": "US",
            "telephone_number": "952-892-5400",
            "fax_number": "952-892-8978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 Highway 7",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554263919",
            "country_code": "US",
            "telephone_number": "953-935-1913",
            "fax_number": "952-933-4817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 W 78th St",
            "address_purpose": "LOCATION",
            "city": "Chanhassen",
            "state": "MN",
            "postal_code": "553179579",
            "country_code": "US",
            "telephone_number": "952-474-3649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15800 87th St NE",
            "address_purpose": "LOCATION",
            "city": "Otsego",
            "state": "MN",
            "postal_code": "553306546",
            "country_code": "US",
            "telephone_number": "763-441-3824",
            "fax_number": "763-441-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14333 Highway 13 S",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MN",
            "postal_code": "553782153",
            "country_code": "US",
            "telephone_number": "952-226-1412",
            "fax_number": "952-226-1413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21615 S Diamond Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "MN",
            "postal_code": "553748893",
            "country_code": "US",
            "telephone_number": "763-428-4831",
            "fax_number": "763-428-9052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELTON",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MN",
            "license": "3231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN OD LICENSE",
            "identifier": "3231",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.