Active NPI
Melissa K Hoven, OD
- Optometrist
- Alexandria, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2703
- Practice address
- 120 12TH Ave E
Alexandria, MN 56308 - Phone
- (320) 763-4321
- Fax
- (320) 763-6921
- NPI assigned
- Dec 26, 2006
- Last updated
- Sep 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2703 | MN | Primary |
Addresses
Primary practice location
120 12TH Ave E
Alexandria, MN 56308
Mailing address
120-12TH Ave E
Alexandria, MN 56308
Phone (320) 763-4321
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP26440 | Other | MN | HEALTH PARTNERS |
| 030701053 | Other | MN | PRIMEWEST |
| 1017434 | Other | MN | PREFERRED ONE |
| 150778 | Other | MN | UCARE |
| 22007665 | Other | MN | MEDICA |
| 23375 | Other | MN | AVESIS |
| 89D88HO | Other | MN | BCBS |
| 959716600 | Medicaid | MN | |
| P00279901 | Other | MN | RAILRAOD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1610 Broadway St
Alexandria, MN 56308-2708
Phone (320) 763-4321
3930 Cedar Grove Pkwy
Eagan, MN 55122-1403
Phone (651) 454-5661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2703 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagan Eye Clinic LLC | Optometrist | Current | Accepting new patients |
| Eagan Eye Clinic LLC | Optometrist | Current | Accepting new patients |
Locations
1610 Broadway St
Alexandria, MN 56308
Phone (320) 763-4321
3930 Cedar Grove Pkwy
Saint Paul, MN 55122
Phone (612) 454-5661
Organizations & group practices 2
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.
-
- Optometrist
- Eagan, MN
- NPI 1477732337
-
- Optometrist
- Becker, MN
- NPI 1023615069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1346305737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120-12TH AVE E",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "56308",
"telephone_number": "320-763-4321",
"fax_number": "320-763-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 12TH AVE E",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "56308",
"telephone_number": "320-763-4321",
"fax_number": "320-763-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOVEN",
"first_name": "MELISSA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP26440",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMEWEST",
"identifier": "030701053",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1017434",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "150778",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "22007665",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "23375",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89D88HO",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "959716600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "P00279901",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.