Benjamin Michalicek, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3802 Issued in MN

Practice address

272 Snelling Ave S Ste 300
Saint Paul, MN 55105-2829

Phone

(651) 369-7833

Fax

(651) 560-5732

NPI assigned

Mar 31, 2021

Last updated

Apr 13, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lauren K Haverly LLCGroup PAC ID 2668806811, 2 clinicians

Premier Eye Care Prescott, LTD.Group PAC ID 8224397260, 5 clinicians

West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

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.

• Lauren K Haverly LLC

  dba Prism Eyecare

  • Optometrist
  • Saint Paul, MN
  • NPI 1982247870
  Medicare reassignment Care Compare group NPD
• Premier Eye Care Prescott, LTD.

  dba Premier Eye Care, Prescott

  • Optometrist
  • Prescott, WI
  • NPI 1851816169
  Medicare reassignment Care Compare group NPD
• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890

  MN

  Medicare reassignment Care Compare group NPD
• West Point Optical Group

  • Optometrist
  • Ann Arbor, MI
  • NPI 1073983698
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1396323176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 SNELLING AVE S STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052829",
            "telephone_number": "651-369-7833",
            "fax_number": "651-560-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 SNELLING AVE S STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052829",
            "telephone_number": "651-369-7833",
            "fax_number": "651-560-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALICEK",
        "first_name": "BENJAMIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3969",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L. Maristuen D.C., P.a.
• Michael V. Desanctis, PHD, Abpp, Licensed Psychologist PLLC
• Abigail Rebekah Michael, RN, BSN, PHN
• Amanda Michaelson, PHARMD
• Alyssa Michaletz
• Michael Gregory Michalik, MD
• Bryan S Michalowicz, DDS, MS
• James Michaud
• Lavonne L Michaud, MD
• Michelle Krypel Psychotherapy LLC

• Optometrist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.