Pamela Jo Rupnow, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2499 Issued in MN

Practice address

19645 Pilot Knob Rd
Suite 106
Farmington, MN 55024-7239

Phone

(651) 463-2020

Fax

(651) 463-2066

NPI assigned

Feb 17, 2006

Last updated

Dec 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1994

Medicare assignment

May accept Medicare assignment

Group practices

I M I S Minnesota IncGroup PAC ID 9335268754, 4 clinicians

Downtown Eyes Crosstown PLLCGroup PAC ID 5395091243, 3 clinicians

Downtown Eyes Optometric PLLCGroup PAC ID 3971810631, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• I M I S Minnesota Inc

  dba Pearle Vision

  • Optometrist
  • Minnetonka, MN
  • NPI 1043353949
  Medicare reassignment Care Compare group NPD
• Downtown Eyes Crosstown PLLC

  dba Downtown Eyes Crosstown

  • Optometrist
  • Richfield, MN
  • NPI 1134637457
  Medicare reassignment Care Compare group
• Downtown Eyes Optometric PLLC

  • Optometrist
  • Minneapolis, MN
  • NPI 1750762977
  Medicare reassignment Care Compare group
• Focused Eye Care, PA

  • Optometrist
  • Lakeville, MN
  • NPI 1538200787
  NPD (past)
• Ophthalmology PA

  dba McCannel Eye Clinic

  • Ophthalmology Physician
  • Edina, MN
  • NPI 1114921996
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546128000000",
    "number": "1760456479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19645 PILOT KNOB RD",
            "address_2": "STE 106",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247240",
            "telephone_number": "952-948-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19645 PILOT KNOB RD",
            "address_2": "SUITE 106",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247239",
            "telephone_number": "651-463-2020",
            "fax_number": "651-463-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPNOW",
        "first_name": "PAMELA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2018-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATIENT'S CHOICE",
            "identifier": "113289",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA HEALTH PLAN",
            "identifier": "2201169",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "30041RU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "26019",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE HEALTH PLAN",
            "identifier": "1016339",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "114544",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084015400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Valley Home Care Inc
• River Valley Pca Services, Inc.
• Leanna Robak
• Nada Lyn Robertson Hogan, LAC, MOM
• Kailee Marie Ruiz, LMFT
• Sheila L Salo-Seifert, LMFT
• Jonathan H Sampson, PT, DPT
• Timothy E Savageau, OD
• Savannah Nikole Schmaltz, OTR/L
• Erin Sarah Scofield, PHARMD

• Optometrist in Farmington, MN
• Providers in Farmington, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; 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.

Verify at the official NPI Registry.