Individual provider Active NPI

Lynette Rose Catapano, OD PC

  • Optometrist
  • Anoka, MN
National Provider Identifier
1861493843
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2281 Issued in MN
Practice address
12 Bridge SQ
Ste 101
Anoka, MN 55303-2463
Phone
(320) 558-9403
Fax
(320) 558-4583
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2281 MN Primary

Addresses

Primary practice location

12 Bridge SQ
Ste 101
Anoka, MN 55303-2463

Mailing address

PO Box 275
814 Clearwater Ctr
Clearwater, MN 55320
Phone (320) 558-9403

Other identifiers 6

IdentifierTypeStateIssuer
0730002OtherMNPREFERRED ONE
682225800MedicaidMN
75D85CLOtherMNBCBS
1309020001OtherMNDMERC
2211986OtherMNMEDICA
73D83VROtherMNBCBS

Other names 1

  • Lynette Rose Catapano Former name

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
I20060426000917 MN Practitioner - Optometry 6305856915 Reassigns benefits to 2 organizations
Practice locations: Hutchinson, ME; Clearwater, MN; Saint Cloud, MN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Eye Care PAGroup PAC ID 9032455936, 13 clinicians

Practice addresses (Care Compare)

7000 York Ave S
Edina, MN 55435-4213
Phone (952) 922-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Eye Care, PA Optometrist CurrentSince Oct 1, 2022 Accepting new patients
DJ-MN Inc Current Accepting new patients
DJ-MN Inc CurrentSince May 13, 2021 Accepting new patients
DJ-MN Inc CurrentSince May 13, 2021 Accepting new patients
Apolade Inc Optometrist Past Accepting new patients
Eagan Eye Clinic LLC Optometrist Past Accepting new patients
DT Vision Care L.L.C. Optometrist PastSince Sep 9, 2010 Accepting new patients
Randy's Family Optical, Inc. Optometrist Past Accepting new patients
Northway Eye & Contact Lens Center Optometrist Past Accepting new patients

Locations

12 Bridge Sq
Ste 101
Anoka, MN 55303
Phone (763) 421-4334

810 County Road 42 W
Burnsville, MN 55337
Phone (952) 236-3003

11990 Business Park Blvd N
Champlin, MN 55316
Phone (763) 354-1006

851 W 78th St
Chanhassen, MN 55317
Phone (952) 252-1208

11415 Foley Blvd NW
Coon Rapids, MN 55448
Phone (763) 755-3683

18275 Kenrick Ave
Lakeville, MN 55044
Phone (952) 892-0028

7000 York Ave S
Minneapolis, MN 55435
Phone (952) 922-8118

504 Pine St
Monticello, MN 55362
Phone (763) 295-0004

15800 87th St NE
Otsego, MN 55330
Phone (763) 252-1316

6445 Richfield Pkwy
Richfield, MN 55423
Phone (612) 243-0201

21615 S Diamond Lake Rd
Rogers, MN 55374
Phone (763) 428-4831

8900 Highway 7
St Louis Park, MN 55426
Phone (952) 933-4858

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1861493843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "address_2": "814 CLEARWATER CTR",
            "city": "CLEARWATER",
            "state": "MN",
            "postal_code": "55320",
            "telephone_number": "320-558-9403",
            "fax_number": "320-558-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BRIDGE SQ",
            "address_2": "STE 101",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032463",
            "telephone_number": "320-558-9403",
            "fax_number": "320-558-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATAPANO",
        "first_name": "LYNETTE",
        "middle_name": "ROSE",
        "credential": "OD PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "0730002",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682225800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "75D85CL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1309020001",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2211986",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "73D83VR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "CATAPANO",
            "middle_name": "ROSE",
            "credential": "OD PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anoka, MN

Sources for this page

Verify at the official NPI Registry.