Scott Minnerath, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3742 Issued in MN

Practice address

2210 Highway 29 S Ste 201
Alexandria, MN 56308-3500

Phone

(320) 219-6543

Fax

(320) 219-6545

NPI assigned

Jun 30, 2021

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagan Eye Clinic LLCGroup PAC ID 0345220745, 48 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Eagan Eye Clinic LLC

  • Optometrist
  • Eagan, MN
  • NPI 1477732337
  Medicare reassignment Care Compare group NPD
• Advanced Eyecare of Minnesota P.a.

  • Optometrist
  • Alexandria, MN
  • NPI 1316304124
  Medicare reassignment NPD
• Eagan Eye Clinic LLC

  • Optometrist
  • Becker, MN
  • NPI 1023615069
  NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1336719475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6874 COUNTY ROAD 28 SW",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563086018",
            "telephone_number": "320-760-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 HIGHWAY 29 S STE 201",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083500",
            "telephone_number": "320-219-6543",
            "fax_number": "320-219-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNERATH",
        "first_name": "SCOTT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lynn Miller, ATC
• Emily Marie Miller
• Julie J Miller, LRD,CDE
• Kaylee Miller, DPM
• Riley Miller
• Minnesota Eye Institute Surgery Center, LLC
• Minnesota Eye Institute, Inc.
• Minnesota Teen Challenge, Inc
• Minnesota Teen Challenge, Inc
• Michelle C Mirau, MD

• Optometrist in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.