Individual provider Active NPI

Mitchell H Albers, O.D.

  • Optometrist
  • Maplewood, MN
National Provider Identifier
1407806763
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2723 Issued in MN
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
410023607OtherMNRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000762 MN Practitioner - Optometry 8921068123 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Eye Care Centers, PA Optometrist CurrentSince Jun 1, 2001 Accepting new patients
Optometric Eye Care Centers, P.a. Optometrist Current Accepting new patients
Optometric Eye Care Centers, PA Optometrist CurrentSince Jun 1, 2001 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

Verify at the official NPI Registry.