Active NPI
Wallerich Eye Care LLC Dba Swoop Eye Care
- Optometrist
- Richfield, MN
National Provider Identifier
1194377671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- WALLERICH EYE CARE LLC DBA SWOOP EYE CARE
- Practice address
- 817 E 66TH St
Richfield, MN 55423-2506 - Phone
- (612) 488-1566
- Fax
- (612) 488-1564
- NPI assigned
- Jul 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Thomas Wallerich, OD
- Title
- Owner
- Phone
- (124) 881-5666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
817 E 66TH St
Richfield, MN 55423-2506
Mailing address
817 E 66TH St
Richfield, MN 55423-2506
Phone (612) 488-1566
Other practice location 1
1300 University Ave W
Saint Paul, MN 55104-4103
Phone (612) 643-3525
Other practice location 2
8225 Flying Cloud Dr
Eden Prairie, MN 55344-5315
Phone (612) 643-3525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881135093 | Medicaid | MN |
Other names 2
- Swoop Eye Care
- Wallerich Eye Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SwoopEyeCare@swoop-eye-care.direct.kno2fy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
817 E 66th St
Ste A
Richfield, MN 55423
Phone (612) 488-1566
Interoperability endpoints
- swoopeyecare@swoop-eye-care.direct.kno2fy.com
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Richfield, MN
- NPI 1881135093
-
- Optometrist
- Richfield, MN
- NPI 1336590116
-
- Optometrist
- Victoria, MN
- NPI 1609156835
-
- Optometrist
- Richfield, MN
- NPI 1528310869
-
- Optometrist
- Excelsior, MN
- NPI 1376823146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748563200000",
"number": "1194377671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 E 66TH ST",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232506",
"telephone_number": "612-488-1566",
"fax_number": "612-488-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 E 66TH ST",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232506",
"telephone_number": "612-488-1566",
"fax_number": "612-488-1564"
}
],
"practiceLocations": [
{
"address_1": "1300 University Ave W",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551044103",
"country_code": "US",
"telephone_number": "612-643-3525",
"fax_number": "612-299-1452",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8225 Flying Cloud Dr",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553445315",
"country_code": "US",
"telephone_number": "612-643-3525",
"fax_number": "612-299-1452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WALLERICH EYE CARE LLC DBA SWOOP EYE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-15",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A",
"authorized_official_last_name": "WALLERICH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "124-881-5666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881135093",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SwoopEyeCare@swoop-eye-care.direct.kno2fy.com",
"affiliation": "N",
"endpointDescription": "Kno2 Address for Direct Messagin",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "817 E 66th St",
"city": "Richfield",
"state": "MN",
"country_code": "US",
"postal_code": "554232506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Swoop Eye Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wallerich Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.