Individual provider Active NPI

Theresa K Klinge, O.D.

  • Optometrist
  • Edina, MN
National Provider Identifier
1710953161
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2664 Issued in MN
Practice address
7450 France Ave S
Suite 100
Edina, MN 55435-4787
Phone
(952) 832-8100
Fax
(952) 832-8176
NPI assigned
Feb 26, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2664 MN Primary

Addresses

Primary practice location

7450 France Ave S
Suite 100
Edina, MN 55435-4787

Mailing address

7450 France Ave S
Suite 100
Edina, MN 55435-4787
Phone (952) 832-8100

Other identifiers 6

IdentifierTypeStateIssuer
2202876OtherMNMEDICA
2349336OtherMNAMERICA'S PPO/TPA
0800014OtherMNMEDICA DUEL SOLUTIONS
381M8KLOtherMNBLUE CROSS BLUE SHIELD
P00232837OtherMNRR MEDICARE
960561043682OtherMNPREFERREDONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050518000108 MN Practitioner - Optometry 7911948153 Reassigns benefits to 1 organization
I20250512002620 SD Practitioner - Optometry 7911948153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milbank Eyecare Center Prof LLCGroup PAC ID 6608950688, 2 clinicians

Practice addresses (Care Compare)

224 S Main St
Milbank, SD 57252-1809
Phone (605) 432-6666

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
828SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Milbank Eyecare Center, Prof. L.L.C. Optometrist CurrentSince Apr 15, 2025 Accepting new patients
Ovo Lasik and Lens LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

6099 Wayzata Blvd
St Louis Park, MN 55416
Phone (612) 871-1144

6099 Wayzata Blvd
Ste 120
St Louis Park, MN 55416
Phone (952) 204-5060

224 S Main St
Milbank, SD 57252
Phone (605) 432-6666

Organizations & group practices 2

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": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710953161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S",
            "address_2": "SUITE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354787",
            "telephone_number": "952-832-8100",
            "fax_number": "952-832-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S",
            "address_2": "SUITE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354787",
            "telephone_number": "952-832-8100",
            "fax_number": "952-832-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGE",
        "first_name": "THERESA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2202876",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO/TPA",
            "identifier": "2349336",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA DUEL SOLUTIONS",
            "identifier": "0800014",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "381M8KL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00232837",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "960561043682",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.