Organization Active NPI

Claris Eye Care & Surgery, P.a.

Doing business as Claris Eye Care & Surgery

  • Ophthalmology Physician
  • Burnsville, MN
National Provider Identifier
1841425899
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28116 Issued in MN
Legal business name
CLARIS EYE CARE & SURGERY, P.A.
Doing business as
Claris Eye Care & Surgery
Practice address
14101 Fairview Dr Ste 350
Burnsville, MN 55337-2506
Phone
(952) 522-4900
Fax
(952) 522-4901
NPI assigned
May 20, 2009
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Keith Harold Carlson, M.D.NPI 1679548879
Title
President
Phone
(952) 522-4900

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 28116 MN Primary

Addresses

Primary practice location

14101 Fairview Dr Ste 350
Burnsville, MN 55337-2506

Mailing address

14101 Fairview Dr Ste 350
Burnsville, MN 55337-2506
Phone (952) 522-4900

Other names 1

  • Claris Eye Care & Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090914000625 MN Part B Supplier - Clinic/Group Practice 6800942079 Receives reassigned benefits from 1 practitioner
Practice locations: Burnsville, MN

National Provider Directory

National Provider Directory

Locations

14101 Fairview Dr
Ste 350
Burnsville, MN 55337
Phone (612) 775-8009

710 E 24th St
Ste 205
Minneapolis, MN 55404
Phone (612) 879-9397

710 E 24th St
Ste 102
Minneapolis, MN 55404
Phone (612) 775-8009

Practitioners & affiliated clinicians

Practitioners 2

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": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1841425899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 FAIRVIEW DR STE 350",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372506",
            "telephone_number": "952-522-4900",
            "fax_number": "952-522-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 FAIRVIEW DR STE 350",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372506",
            "telephone_number": "952-522-4900",
            "fax_number": "952-522-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARIS EYE CARE & SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-522-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "28116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claris Eye Care & Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.