Individual provider Active NPI

Leah Ruhland, OD

  • Optometrist
  • Plymouth, MN
National Provider Identifier
1457840191
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3566 Issued in MN
Practice address
4455 Highway 169 N
Plymouth, MN 55442-2897
Phone
(763) 559-7358
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3566 MN Primary

Addresses

Primary practice location

4455 Highway 169 N
Plymouth, MN 55442-2897

Mailing address

4455 Highway 169 N
Plymouth, MN 55442-2897
Phone (763) 559-7358

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
I20190801003385 MN Practitioner - Optometry 3779819446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1160 Wayzata Blvd E
Wayzata, MN 55391-1963
Phone (952) 473-7505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3566MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Eye Care, PA Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Family Eye Clinic & Contact Lens Center Optometrist CurrentSince May 20, 2024 Accepting new patients
Family Eye Clinic & Contact Lens Center Optometrist Current Accepting new patients
Hometown Eye Care, Inc Optometrist Past Accepting new patients

Locations

3822 W Old Shakopee Rd
Bloomington, MN 55431
Phone (952) 884-4366

11990 Business Park Blvd N
Champlin, MN 55316
Phone (763) 354-1006

851 W 78th St
Chanhassen, MN 55317
Phone (952) 252-1208

16550 W 78th St
Ste A
Eden Prairie, MN 55346
Phone (952) 934-6926

18275 Kenrick Ave
Lakeville, MN 55044
Phone (952) 892-0028

7000 York Ave S
Minneapolis, MN 55435
Phone (952) 922-8118

15800 87th St NE
Otsego, MN 55330
Phone (763) 252-1316

6445 Richfield Pkwy
Richfield, MN 55423
Phone (612) 243-0201

21615 S Diamond Lake Rd
Rogers, MN 55374
Phone (763) 428-4831

14333 Highway 13 S
Savage, MN 55378
Phone (952) 226-1411

8900 Highway 7
St Louis Park, MN 55426
Phone (952) 933-4858

1160 Wayzata Blvd E
Wayzata, MN 55391
Phone (952) 473-7505

Organizations & group practices 4

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1457840191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 HIGHWAY 169 N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422897",
            "telephone_number": "763-559-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 HIGHWAY 169 N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422897",
            "telephone_number": "763-559-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHLAND",
        "first_name": "LEAH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.