Active NPI
Andrew Hess, OPTOMETRIST
- Optometrist
- Elk River, MN
National Provider Identifier
1861390007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4108
- Practice address
- 19022 Freeport St NW
Elk River, MN 55330-4766 - Phone
- (763) 441-1055
- NPI assigned
- Oct 28, 2026
- Last updated
- Oct 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4108 | MN | Primary |
Addresses
Primary practice location
19022 Freeport St NW
Elk River, MN 55330-4766
Mailing address
11140 193Rd Ave NW
Elk River, MN 55330-1226
Phone (763) 360-2831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793145600000",
"number": "1861390007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11140 193RD AVE NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301226",
"telephone_number": "763-360-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19022 FREEPORT ST NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553304766",
"telephone_number": "763-441-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESS",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "OPTOMETRIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-28",
"last_updated": "2026-10-28",
"certification_date": "2026-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "4108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.