Active NPI
Michael Wallerich, OD
- Optometrist
- Richfield, MN
National Provider Identifier
1881135093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3573
- Practice address
- 817 E 66TH St
Richfield, MN 55423-2506 - Phone
- (612) 488-1566
- Fax
- (612) 488-1564
- NPI assigned
- Mar 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | MN3573 | MN | |
| Optometrist | 152W00000X | 3573 | MN | Primary |
Addresses
Primary practice location
817 E 66TH St
Richfield, MN 55423-2506
Mailing address
817 E 66TH St
Richfield, MN 55423-2506
Phone (612) 488-1566
Other practice location 1
1300 University Ave W
Saint Paul, MN 55104-4103
Phone (612) 643-3525
Other practice location 2
8225 Flying Cloud Dr
Eden Prairie, MN 55344-5315
Phone (612) 643-3525
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SwoopEyeCare@swoop-eye-care.direct.kno2fy.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
817 E 66TH St
Richfield, MN 55423-2506
Phone 61264335253
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallerich Eye Care LLC Dba Swoop Eye Care | Optometrist | Current | Accepting new patients |
| Swoop Eye Clinic, LLC | Optometrist | Current | Accepting new patients |
Locations
8225 Flying Cloud Dr
Eden Prairie, MN 55344
Phone (952) 563-0246
817 E 66th St
Richfield, MN 55423
Phone (612) 488-1566
1300 University Ave W
Saint Paul, MN 55104
Phone (651) 642-1146
Interoperability endpoints
- michael.wallerich@swoop-eye-care.direct.kno2fy.com
- swoopeyecare@swoop-eye-care.direct.kno2fy.com
Organizations & group practices 2
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.
-
dba Swoop Eye Care
- Optometrist
- Richfield, MN
- NPI 1194377671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1881135093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 E 66TH ST",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232506",
"telephone_number": "612-488-1566",
"fax_number": "612-488-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 E 66TH ST",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232506",
"telephone_number": "612-488-1566",
"fax_number": "612-488-1564"
}
],
"practiceLocations": [
{
"address_1": "1300 University Ave W",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551044103",
"country_code": "US",
"telephone_number": "612-643-3525",
"fax_number": "612-299-1452",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8225 Flying Cloud Dr",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553445315",
"country_code": "US",
"telephone_number": "612-643-3525",
"fax_number": "612-299-1452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLERICH",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-20",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MN",
"license": "MN3573",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3573",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SwoopEyeCare@swoop-eye-care.direct.kno2fy.com",
"affiliation": "N",
"endpointDescription": "Kno2 Program",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "817 E 66th St",
"city": "Richfield",
"state": "MN",
"country_code": "US",
"postal_code": "554232506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.