Individual provider Active NPI

Raymond Alex Chartier, O.D.

  • Optometrist
  • Maple Grove, MN
National Provider Identifier
1134854706
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4027 Issued in MN
Practice address
13195 Weaver Lake Rd
Maple Grove, MN 55369-9410
Phone
(763) 420-5112
Fax
(763) 420-6957
NPI assigned
Jul 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004346A IN
Optometrist 152W00000X 4027 MN Primary
Optometrist 152W00000X 4901005731 MI

Addresses

Primary practice location

13195 Weaver Lake Rd
Maple Grove, MN 55369-9410

Mailing address

13195 Weaver Lake Rd
Maple Grove, MN 55369-9410
Phone (763) 420-5112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230906000398 MI Practitioner - Optometry 5496136442 Reassigns benefits to 1 organization
I20250930000171 MN Practitioner - Optometry 5496136442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Brokea Inc.Group PAC ID 9537328075, 8 clinicians

Practice addresses (Care Compare)

13195 Weaver Lake Rd
Maple Grove, MN 55369-9410
Phone (763) 420-5112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004346AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
M.a. Schwartz Optometrist Inc Optometrist CurrentSince Aug 28, 2023 Accepting new patients
Brokea Inc. Optometrist CurrentSince Sep 2, 2025 Accepting new patients
Indiana University Optometrist Past Accepting new patients

Locations

37670 Garfield Rd
Clinton Twp, MI 48036
Phone (586) 939-1122

13400 15 Mile Rd
Sterling Hts, MI 48312
Phone (586) 939-1122

13195 Weaver Lake Rd
Maple Grove, MN 55369
Phone (763) 420-5112

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1134854706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 WEAVER LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553699410",
            "telephone_number": "763-420-5112",
            "fax_number": "763-420-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13195 WEAVER LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553699410",
            "telephone_number": "763-420-5112",
            "fax_number": "763-420-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTIER",
        "first_name": "RAYMOND",
        "middle_name": "ALEX",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004346A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4027",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.