Organization Active NPI

Hopkins Eye Clinic, PLLC

  • Clinic/Center
  • Hopkins, MN
National Provider Identifier
1710160213
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOPKINS EYE CLINIC, PLLC
Practice address
29 9TH Ave N
Hopkins, MN 55343-8087
Phone
(952) 935-2020
Fax
(952) 935-5660
NPI assigned
Dec 7, 2007
Last updated
May 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Dr. Aaron B Mjelstad, O.D.NPI 1952347056
Title
Owner
Phone
(952) 935-2020

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

29 9TH Ave N
Hopkins, MN 55343-8087

Mailing address

29 9TH Ave N
Hopkins, MN 55343-8087
Phone (952) 935-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000095 MN Part B Supplier - Clinic/Group Practice 7416031513 Receives reassigned benefits from 3 practitioners
Practice locations: Hopkins, MN

National Provider Directory

National Provider Directory
Tax ID family
Hopkins Eye Clinic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1710160213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 9TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438087",
            "telephone_number": "952-935-2020",
            "fax_number": "952-935-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 9TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438087",
            "telephone_number": "952-935-2020",
            "fax_number": "952-935-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINS EYE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "MJELSTAD",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-935-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.