Organization Active NPI

Essential Eyecare Minnesota Inc

Doing business as Pearle Vision

  • Optometrist
  • Red Wing, MN
National Provider Identifier
1720739022
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ESSENTIAL EYECARE MINNESOTA INC
Doing business as
Pearle Vision
Practice address
144 Tyler Rd N Ste B
Red Wing, MN 55066-1889
Phone
(651) 388-3838
NPI assigned
Jan 18, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Dr. Chelsea Leigh Laden, ODNPI 1538820329
Title
Optometrist
Phone
(952) 239-2360

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

144 Tyler Rd N Ste B
Red Wing, MN 55066-1889

Mailing address

144 Tyler Rd N Ste B
Red Wing, MN 55066-1889
Phone (651) 388-3838

Other names 1

  • Pearle Vision Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220608000132 MN Part B Supplier - Clinic/Group Practice 9537547351 Receives reassigned benefits from 5 practitioners
Practice locations: Red Wing, MN
O20231108001566 MN DME Supplier - Physician - Optometrist 9537547351 Practice locations: Red Wing, 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
Essential Eyecare Minnesota Inc144 Tyler Rd N, Red Wing, MN 55066-1889(651) 388-3838 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since May 1, 2022

National Provider Directory

National Provider Directory

Locations

144 Tyler Rd N
Red Wing, MN 55066

144 Tyler Rd N
Ste B
Red Wing, MN 55066
Phone (651) 388-3838

Practitioners & affiliated clinicians

Practitioners 11

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": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1720739022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 TYLER RD N STE B",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661889",
            "telephone_number": "651-388-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 TYLER RD N STE B",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661889",
            "telephone_number": "651-388-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL EYECARE MINNESOTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "LADEN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "952-239-2360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Wing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.