Active NPI
Burnsville Eye Clinic LLC
- Optometrist
- Burnsville, MN
National Provider Identifier
1255575973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2823
- Legal business name
- BURNSVILLE EYE CLINIC 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 SUBURBAN EYE CARE SPECIALISTS PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Joseph Mattson, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518037563 | Other | MN | NPI |
| 2203175 | Other | MN | UNITED HEALTH CARE |
| 2823 | Other | MN | MN LICENSE |
| HP36326 | Other | MN | HEALTHPARTNERS |
| 499R7LA | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 202779692 | Other | MN | VSP |
| 2203175 | Other | MN | MEDICA |
| A61971031584 | Other | MN | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Lakeville Family Eye Care PA
Locations
1004 County Road 42 E
Burnsville, MN 55337
Phone (952) 894-1400
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Northfield, MN
- NPI 1053798637
-
- Optometrist
- Burnsville, MN
- NPI 1194403774
-
- Optometrist
- Lakeville, MN
- NPI 1518037563
-
- Optometrist
- Woodbury, MN
- NPI 1710407622
-
- Optometrist
- Lakeville, MN
- NPI 1871231084
-
- Optometrist
- Shakopee, MN
- NPI 1265812283
-
- Optometrist
- Buffalo, MN
- NPI 1588077473
-
- Optometrist
- Burnsville, MN
- NPI 1467712133
-
- Ophthalmology Physician
- St Louis Park, MN
- NPI 1003836479
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": "1255575973",
"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": "BURNSVILLE EYE CLINIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTH SUBURBAN 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": "JOSEPH",
"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 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": "UNITED HEALTH CARE",
"identifier": "2203175",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN LICENSE",
"identifier": "2823",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP36326",
"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": "VSP",
"identifier": "202779692",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "2203175",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "A61971031584",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
- Burnhaven Chiropractic
- Burnsville Autism Learning Center Inc
- Burnsville Carefree Living
- Burnsville Center for Add and Addictions, L.L.C.
- Burnsville Dental, P.a.
- Burnsville Family Chiropractic
- Burnsville Family Physicians, P.a.
- Burnsville Orthodontic Associates PLLC
- Burnsville Surgery Center, P.a.
- Annie L Burton, MD
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.