Active NPI
Mitchell H Albers, O.D.
- Optometrist
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2723
- Practice address
- 1965 11TH Ave E
Maplewood, MN 55109-5167 - Phone
- (651) 777-3555
- Fax
- (651) 777-4459
- NPI assigned
- May 10, 2006
- Last updated
- Feb 22, 2010
- Sex
- Male
- 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 | 2723 | MN | Primary |
Addresses
Primary practice location
1965 11TH Ave E
Maplewood, MN 55109-5167
Mailing address
1965 11TH Ave E
Maplewood, MN 55109-5168
Phone (651) 777-3555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410023607 | Other | MN | RAILROAD 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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1965 11TH Ave E
Suite 101
Maplewood, MN 55109-5168
Phone (651) 777-3555
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optometric Eye Care Centers, PA | Optometrist | Current | Accepting new patients |
| Optometric Eye Care Centers, P.a. | Optometrist | Current | Accepting new patients |
| Optometric Eye Care Centers, PA | Optometrist | Current | Accepting new patients |
Locations
7884 Main St N
Maple Grove, MN 55369
Phone (763) 420-6981
1965 11th Ave E
Maplewood, MN 55109
Phone (651) 777-3555
1202 Moore Lake Dr E
Minneapolis, MN 55432
Phone (763) 292-4100
1965 11th Ave E
Ste 101
Saint Paul, MN 55109
Phone (651) 777-3555
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1407806763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 11TH AVE E",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095168",
"telephone_number": "651-777-3555",
"fax_number": "651-777-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 11TH AVE E",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095167",
"telephone_number": "651-777-3555",
"fax_number": "651-777-4459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERS",
"first_name": "MITCHELL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410023607",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.