Individual provider Active NPI

Denise Renee Kniefel, O.D.

  • Occupational Vision Optometrist
  • Eagan, MN
National Provider Identifier
1720177108
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
2744000 Issued in MN
Practice address
1340 Duckwood Dr
Suite 14
Eagan, MN 55123-2324
Phone
(651) 452-0344
Fax
(651) 452-1564
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2744000 MN
Corneal and Contact Management Optometrist 152WC0802X 2744000 MN
Pediatric Optometrist 152WP0200X 2744000 MN
Sports Vision Optometrist 152WS0006X 2744000 MN
Occupational Vision Optometrist 152WX0102X 2744000 MN Primary

Addresses

Primary practice location

1340 Duckwood Dr
Suite 14
Eagan, MN 55123-2324

Mailing address

1340 Duckwood Dr
Suite 14
Eagan, MN 55123-2324
Phone (651) 452-0344

Other identifiers 6

IdentifierTypeStateIssuer
HP29343OtherMNHEALTH PARTNERS
XX1901021029OtherMNPREFERRED ONE
123760OtherMNUCARE
2212026OtherMNMEDICA
02S60KNOtherMNBLUE CROSS BLUE SHIELD
858115OtherMNAMERICA'S PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100612000099 MN Practitioner - Optometry 8022148303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

1340 Duckwood Dr
Suite 14
Eagan, MN 55123-2324
Phone (651) 452-0344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2744MNMDMarriage & Family Therapist
2744000MNMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of SC LLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Eye Care Associates of Co LLC Optometrist Past Accepting new patients

Locations

6487 Cedar Hills Dr
Cannon Falls, MN 55009
Phone (507) 263-3949

15083 Crestone Ave W
Rosemount, MN 55068
Phone (651) 423-3300

1340 Duckwood Dr
Ste 14
Saint Paul, MN 55123
Phone (651) 349-4699

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720177108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 DUCKWOOD DR",
            "address_2": "SUITE 14",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232324",
            "telephone_number": "651-452-0344",
            "fax_number": "651-452-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 DUCKWOOD DR",
            "address_2": "SUITE 14",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232324",
            "telephone_number": "651-452-0344",
            "fax_number": "651-452-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIEFEL",
        "first_name": "DENISE",
        "middle_name": "RENEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2744000",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MN",
            "license": "2744000",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MN",
            "license": "2744000",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MN",
            "license": "2744000",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MN",
            "license": "2744000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP29343",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "XX1901021029",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "123760",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2212026",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02S60KN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "858115",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.