Individual provider Active NPI

Bryan Thomas Parrott, OD

  • Optometrist
  • Saint Paul, MN
National Provider Identifier
1609427418
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3772 Issued in MN
Practice address
2024 Ford Pkwy
Saint Paul, MN 55116-1931
Phone
(651) 698-2020
Fax
(651) 698-6918
NPI assigned
Sep 23, 2019
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004196A IN
Optometrist 152W00000X 3772 MN Primary

Addresses

Primary practice location

2024 Ford Pkwy
Saint Paul, MN 55116-1931

Mailing address

2024 Ford Pkwy
Saint Paul, MN 55116-1992
Phone (651) 698-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.innovativeeyecare-iec.com

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220602000030 MN Practitioner - Optometry 6406280643 Reassigns benefits to 2 organizations
I20260401002461 WI Practitioner - Ophthalmology 6406280643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
International American University at Puerto Rico - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sees the Day LTDGroup PAC ID 7517921372, 8 clinicians
K and K Vision IncGroup PAC ID 7810091949, 3 clinicians

Practice addresses (Care Compare)

113 Carmichael Rd
Hudson, WI 54016-7716
Phone (715) 377-7970

2024 Ford Pkwy
Saint Paul, MN 55116-1931
Phone (651) 698-2020

7150 Valley Creek PLZ
Suite 216
Woodbury, MN 55125-2271
Phone (651) 738-4886

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sees the Day LTD Optometrist CurrentSince Jul 17, 2025 Accepting new patients
K & K Vision, Inc. Optometrist CurrentSince May 1, 2022 Accepting new patients
Sees the Day LTD Optometrist CurrentSince Jul 17, 2025 Accepting new patients

Locations

1757 N Frontage Rd
Hastings, MN 55033
Phone (651) 480-8515

2024 Ford Pkwy
Saint Paul, MN 55116
Phone (651) 698-2020

7150 Valley Creek Plz
Ste 216
Woodbury, MN 55125
Phone (651) 738-4886

113 Carmichael Rd
Hudson, WI 54016
Phone (715) 377-7970

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, 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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1609427418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161992",
            "telephone_number": "651-698-2020",
            "fax_number": "651-698-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161931",
            "telephone_number": "651-698-2020",
            "fax_number": "651-698-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARROTT",
        "first_name": "BRYAN",
        "middle_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004196A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.innovativeeyecare-iec.com",
            "affiliation": "N",
            "address_1": "1212 N Main St",
            "city": "Auburn",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467061232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.