Organization Active NPI

Eye Clinic North, Professional Association

  • Optometrist
  • Virginia, MN
National Provider Identifier
1639546088
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3339 Issued in MN
Legal business name
EYE CLINIC NORTH, PROFESSIONAL ASSOCIATION
Practice address
807 N 6TH Ave
Virginia, MN 55792-2308
Phone
(218) 741-5886
Fax
(218) 741-5894
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Matthew Sipola, ODNPI 1669819439
Title
Owner
Phone
(218) 741-5886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3339 MN Primary

Addresses

Primary practice location

807 N 6TH Ave
Virginia, MN 55792-2308

Mailing address

807 N 6TH Ave
Virginia, MN 55792-2308
Phone (218) 741-5886

Other practice location 1

405 N 57th Ave W
Duluth, MN 55807-2510
Phone (218) 624-1804

Other practice location 2

1311 E 34th St
Hibbing, MN 55746-3510
Phone (218) 263-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160112000464 MN Part B Supplier - Clinic/Group Practice 9638471444 Receives reassigned benefits from 3 practitioners
Practice locations: Duluth, MN; Hibbing, MN; Virginia, MN
O20161005001748 MN DME Supplier - Physician - Optometrist 9638471444 Practice locations: Virginia, MN

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eye Clinic North807 N 6TH Ave, Virginia, MN 55792-2308(218) 741-5886 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2016

National Provider Directory

National Provider Directory

Locations

2016 1st Ave
Hibbing, MN 55746
Phone (218) 263-3633

1311 E 34th St
Hibbing, MN 55746
Phone (218) 263-3633

807 N 6th Ave
Virginia, MN 55792
Phone (218) 741-5886

413 Chestnut St
Virginia, MN 55792
Phone (218) 741-5886

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": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1639546088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N 6TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922308",
            "telephone_number": "218-741-5886",
            "fax_number": "218-741-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N 6TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922308",
            "telephone_number": "218-741-5886",
            "fax_number": "218-741-5894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N 57th Ave W",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558072510",
            "country_code": "US",
            "telephone_number": "218-624-1804",
            "fax_number": "218-624-4548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 E 34th St",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557463510",
            "country_code": "US",
            "telephone_number": "218-263-3633",
            "fax_number": "218-263-3634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE CLINIC NORTH, PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "SIPOLA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-741-5886",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.