Individual provider Active NPI

Toni J Scheper, OD

  • Optometrist
  • Burnsville, MN
National Provider Identifier
1366429797
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2331 Issued in MN
Practice address
1063 Burnsville Ctr
Burnsville, MN 55306
Phone
(952) 435-8821
Fax
(612) 808-5023
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2331 MN Primary

Addresses

Primary practice location

1063 Burnsville Ctr
Burnsville, MN 55306

Mailing address

17411 Ionia Path
Lakeville, MN 55044-5624
Phone (952) 270-1907

Other practice location 1

749 Apollo Dr
Lino Lakes, MN 55014-3035
Phone (952) 270-1907

Other identifiers 2

IdentifierTypeStateIssuer
420525100MedicaidMN
410003723OtherMNMEDICARE ID

Other names 1

  • Dr. Toni Scheper Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2331MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Sirius Vision Optometry PC Optometrist CurrentSince Jun 17, 2018 Accepting new patients
Toni Scheper, OD Optometrist CurrentSince Jan 1, 2012 Accepting new patients

Locations

1063 Burnsville Ctr
Burnsville, MN 55306
Phone (952) 435-8821

749 Apollo Dr
Lino Lakes, MN 55014
Phone (651) 784-7618

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1366429797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17411 IONIA PATH",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445624",
            "telephone_number": "952-270-1907",
            "fax_number": "612-808-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 BURNSVILLE CTR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55306",
            "telephone_number": "952-435-8821",
            "fax_number": "612-808-5023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "749 Apollo Dr",
            "address_purpose": "LOCATION",
            "city": "Lino Lakes",
            "state": "MN",
            "postal_code": "550143035",
            "country_code": "US",
            "telephone_number": "952-270-1907",
            "fax_number": "612-808-5023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEPER",
        "first_name": "TONI",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420525100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "410003723",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "SCHEPER",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.