NPIMap

Organization Active NPI

Edina Eye Physicians and Surgeons PA

  • Ophthalmology Physician
  • Chaska, MN
National Provider Identifier
1629169644
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7314104 Issued in MN
Legal business name
EDINA EYE PHYSICIANS AND SURGEONS PA
Practice address
111 Hundertmark Rd
Suite 105N
Chaska, MN 55318-4551
Phone
(952) 906-7826
Fax
(952) 906-7827
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
David Folden
Title
Owner
Phone
(612) 999-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 7314104 MN
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 7314104 MN Primary

Addresses

Primary practice location

111 Hundertmark Rd
Suite 105N
Chaska, MN 55318-4551

Mailing address

7450 France Ave S Ste 100
Edina, MN 55435-4799
Phone (612) 999-2020

Other names 1

  • Twin Cities Eye Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000059 MN Part B Supplier - Clinic/Group Practice 1355382698 Receives reassigned benefits from 24 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waconia, MN; Shakopee, MN; Saint Paul, MN; Elk River, MN; Coon Rapids, MN; Edina, MN; Blaine, MN; Chaska, MN…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2177526Edina Eye Physicians and Surgeons111 Hundertmark Rd Suite 105N, Chaska, MN 55318Certificate of waiverJan 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Edina Eye Physicians and Surgeons PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14050 Nicollet Ave
Ste 101
Burnsville, MN 55337
Phone (952) 435-4170

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1629169644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354799",
            "telephone_number": "612-999-2020",
            "fax_number": "952-832-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNDERTMARK RD",
            "address_2": "SUITE 105N",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184551",
            "telephone_number": "952-906-7826",
            "fax_number": "952-906-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINA EYE PHYSICIANS AND SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "FOLDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-999-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "7314104",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "7314104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Cities Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.