Individual provider Active NPI

Melissa Sue Viker, O.D.

  • Optometrist
  • Eden Prairie, MN
National Provider Identifier
1194836353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2338 Issued in MN
Practice address
12195 Singletree LN
Eden Prairie, MN 55344-7921
Phone
(952) 829-9024
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2338 MN Primary

Addresses

Primary practice location

12195 Singletree LN
Eden Prairie, MN 55344-7921

Mailing address

9031 Preserve Blvd
Eden Prairie, MN 55347-2012
Phone (952) 941-1891

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
I20070130000098 MN Practitioner - Optometry 0446251714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors IncGroup PAC ID 4082615356, 2 clinicians

Practice addresses (Care Compare)

12195 Singletree LN
Eden Prairie, MN 55344-7921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194836353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 PRESERVE BLVD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553472012",
            "telephone_number": "952-941-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12195 SINGLETREE LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447921",
            "telephone_number": "952-829-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIKER",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.