Individual provider Active NPI

Tanya Rojas, OD

  • Optometrist
  • Elk River, MN
National Provider Identifier
1861376246
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4019 Issued in MN
Practice address
19576 Holt St NW
Elk River, MN 55330-1287
Phone
(763) 241-2083
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4019 MN Primary

Addresses

Primary practice location

19576 Holt St NW
Elk River, MN 55330-1287

Mailing address

19576 Holt St NW
Elk River, MN 55330-1287

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
I20250930003417 MN Practitioner - Optometry 9638675549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Optical LLCGroup PAC ID 1557528841, 5 clinicians

Practice addresses (Care Compare)

19576 Holt St NW
Elk River, MN 55330-1287
Phone (763) 241-2083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4019MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Optical LLC Optometrist Current Accepting new patients
Minnesota Optical LLC CurrentSince Sep 2, 2025 Accepting new patients
Red Wing Vision Care LLC Optometrist Past Accepting new patients

Locations

19576 Holt St NW
Elk River, MN 55330
Phone (763) 241-2083

Organizations & group practices 3

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": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1861376246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19576 HOLT ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19576 HOLT ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301287",
            "telephone_number": "763-241-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "TANYA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

Verify at the official NPI Registry.