NPIMap

Organization Active NPI

MLP Optometry LTD

  • Optometrist
  • Saint Cloud, MN
National Provider Identifier
1801454608
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MLP OPTOMETRY LTD
Practice address
3636 2ND St S
Saint Cloud, MN 56301-3732
Phone
(763) 742-6210
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Miranda Lepinski Peterson
Title
Owner
Phone
(320) 316-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3636 2ND St S
Saint Cloud, MN 56301-3732

Mailing address

918 101St St NW
Monticello, MN 55362-3010
Phone (763) 742-6210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190813003175 MN Part B Supplier - Clinic/Group Practice 3870820814 Receives reassigned benefits from 7 practitioners
Practice locations: Saint Cloud, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1801454608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 101ST ST NW",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553623010",
            "telephone_number": "763-742-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 2ND ST S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013732",
            "telephone_number": "763-742-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLP OPTOMETRY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "LEPINSKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-316-9880"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.