Anthony Ray Hagerty, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4054 Issued in MN

Practice address

8251 Flying Cloud Dr Ste 2028
Eden Prairie, MN 55344-5313

Phone

(952) 944-3131

NPI assigned

Apr 15, 2026

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• I M I S Minnesota Inc

  dba Pearle Vision

  • Optometrist
  • Minnetonka, MN
  • NPI 1043353949
  Medicare reassignment NPD
• Optometric Associates, LTD.

  • Health Service Clinic/Center
  • Eden Prairie, MN
  • NPI 1689882268
  NPD

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1316881980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15441 YAKIMA CT NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 FLYING CLOUD DR STE 2028",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445313",
            "telephone_number": "952-944-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051956",
            "country_code": "US",
            "telephone_number": "952-546-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "ANTHONY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zubeyda Hade
• Amanda Josephine Haeg, D.C.
• Judith Marie Hafner, B.A.
• Breanna Marie Hagen
• Emily Hagen, NCTM, CNMT
• Gregory Alan Haines, D.O.
• Abdikher Haji
• Sterlin Haji
• Malik Mohamed Hajihassan
• Terence Hubert Hamel, MD

• Optometrist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.