Organization Active NPI

Metropolitan Eye Care Specialists LLC

  • Optometrist
  • Burnsville, MN
National Provider Identifier
1205070927
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2823 Issued in MN
Legal business name
METROPOLITAN EYE CARE SPECIALISTS LLC
Practice address
150 Travelers Trail East
Suite D
Burnsville, MN 55337
Phone
(952) 894-1400
Fax
(952) 808-2216
NPI assigned
Apr 24, 2009
Organization subpart
Yes
Parent organization
SOUTH METRO EYE CARE SPECIALISTS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Andrew J H Mattson, O.D.NPI 1518037563
Title
President
Phone
(952) 894-1400

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2823 MN Primary

Addresses

Primary practice location

150 Travelers Trail East
Suite D
Burnsville, MN 55337

Mailing address

150 Travelers Trail East
Suite D
Burnsville, MN 55337
Phone (952) 894-1400

Other identifiers 8

IdentifierTypeStateIssuer
1518037563OtherMNNPI
202779692OtherMNVSP
2203175OtherMNMEDICA
2823OtherMNMN LICENSE
499R7LAOtherMNBLUE CROSS BLUE SHIELD MN
A61971031584OtherMNPREFERRED ONE
HP36326OtherMNHEALTHPARTNERS
2203175OtherMNUNITED HEALTH CARE

National Provider Directory

National Provider Directory
Part of
Lakeville Family Eye Care PA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1205070927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TRAVELERS TRAIL EAST",
            "address_2": "SUITE D",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-894-1400",
            "fax_number": "952-808-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TRAVELERS TRAIL EAST",
            "address_2": "SUITE D",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-894-1400",
            "fax_number": "952-808-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN EYE CARE SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH METRO EYE CARE SPECIALISTS PA",
        "enumeration_date": "2009-04-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-894-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518037563",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "202779692",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2203175",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN LICENSE",
            "identifier": "2823",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "499R7LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "A61971031584",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP36326",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2203175",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.