Individual provider Active NPI

Emmalee Toldo, OD

  • Optometrist
  • Minneapolis, MN
National Provider Identifier
1770069494
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3579 Issued in MN
Practice address
710 E 24TH St Ste 100
Minneapolis, MN 55404-3897
Phone
(952) 888-5800
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3579 MN Primary

Addresses

Primary practice location

710 E 24TH St Ste 100
Minneapolis, MN 55404-3897

Mailing address

9801 Dupont Ave S
Bloomington, MN 55431-3100
Phone (952) 888-5800

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
I20181023000309 MN Practitioner - Optometry 1355694233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blaine Eye Clinic Optometrists, P.a.Group PAC ID 2264479575, 6 clinicians

Practice addresses (Care Compare)

12170 Aberdeen St NE
Blaine, MN 55449-4716
Phone (763) 757-7000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3579MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blaine Eye Clinic Optometrists, P.a. Optometrist CurrentSince Jan 6, 2021 Accepting new patients

Locations

12170 Aberdeen St NE
Minneapolis, MN 55449
Phone (763) 757-7000

Organizations & group practices 1

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1770069494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 DUPONT AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313100",
            "telephone_number": "952-888-5800",
            "fax_number": "952-567-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 24TH ST STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043897",
            "telephone_number": "952-888-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLDO",
        "first_name": "EMMALEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.