Active NPI
Alexandra K Cross
- Optometrist
- Saint Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3547
- Practice address
- 1665 Utica Ave S Ste 100
Saint Louis Park, MN 55416-3476 - Phone
- (952) 967-7720
- Fax
- (952) 541-2539
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3547 | MN | Primary |
Addresses
Primary practice location
1665 Utica Ave S Ste 100
Saint Louis Park, MN 55416-3476
Mailing address
8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516
Other practice location 1
3234 W Lake St
Minneapolis, MN 55416
Phone (612) 926-2878
Other practice location 2
3234 W Lake St
Minneapolis, MN 55416
Phone (612) 926-2878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3547 | Other | MN | STATE OF MINNESOTA BOARD OF OPTOMERTY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Como Ave
Saint Paul, MN 55108-1460
Phone (651) 641-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3547 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
1210 County Road E W
Arden Hills, MN 55112
Phone (651) 523-8400
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775
2500 Como Ave
Saint Paul, MN 55108
Phone (651) 641-6200
1665 Utica Ave S
Ste 100
St Louis Park, MN 55416
Phone (952) 541-2500
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1740695535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 UTICA AVE S STE 100",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554163476",
"telephone_number": "952-967-7720",
"fax_number": "952-541-2539"
}
],
"practiceLocations": [
{
"address_1": "3234 W Lake St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55416",
"country_code": "US",
"telephone_number": "612-926-2878",
"fax_number": "612-920-4303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3234 W Lake St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55416",
"country_code": "US",
"telephone_number": "612-926-2878",
"fax_number": "612-920-4303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSS",
"first_name": "ALEXANDRA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MINNESOTA BOARD OF OPTOMERTY",
"identifier": "3547",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.