Organization Active NPI

Associated Eye Care LTD

  • Optometrist
  • Stillwater, MN
National Provider Identifier
1881699197
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
485 Issued in MN
Legal business name
ASSOCIATED EYE CARE LTD
Practice address
2950 Curve Crest Blvd W
Stillwater, MN 55082
Phone
(651) 275-3000
Fax
(651) 275-3032
NPI assigned
Jun 15, 2005
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Gary S SchwartzNPI 1275538571
Title
MD/Authorized Official
Phone
(651) 275-3025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 485 MN Primary
Ophthalmology Physician 207W00000X 485 MN

Addresses

Primary practice location

2950 Curve Crest Blvd W
Stillwater, MN 55082

Mailing address

1719 Tower Dr W
Ste 100
Stillwater, MN 55082-7512
Phone (651) 275-3000

Other practice location 1

2380 Rosemary Way
Lino Lakes, MN 55038-7530
Phone (651) 275-3000

Other practice location 2

525 N Knowles Ave Ste 200
New Richmond, WI 54017-1219
Phone (651) 275-3000

Other practice location 3

2651 Hillcrest Dr Ste 104
Hudson, WI 54016-9919
Phone (651) 275-3000

Other practice location 4

237 Radio Dr Ste 100
Woodbury, MN 55125-4478
Phone (651) 275-3000

Other identifiers 3

IdentifierTypeStateIssuer
C47544OtherMNRAILROAD MEDICARE
569008100MedicaidMN
CN7426OtherWIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031229000644 WI Part B Supplier - Clinic/Group Practice 4486552437 Receives reassigned benefits from 19 practitioners
Practice locations: New Richmond, WI; Hudson, WI
O20040205000924 MN Part B Supplier - Clinic/Group Practice 4486552437 Receives reassigned benefits from 21 practitioners
Practice locations: Lino Lakes, MN; Stillwater, MN; Woodbury, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2031088Associated Eye Care237 Radio Drive, Suite 100, Woodbury, MN 55125Certificate of waiverAug 21, 2026
24D2052729Associated Eye Care2380 Rosemary Way, Lino Lakes, MN 55038Certificate of waiverJan 16, 2027
52D2052841Associated Eye Care525 N Knowles Ave, New Richmond, WI 54017Certificate of waiverJan 17, 2027
52D2100466Associated Eye Care2651 Hillcrest Dr, Hudson, WI 54016Certificate of waiverAug 13, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Associated Eye Care Optical LLC2651 Hillcrest Dr, Hudson, WI 54016-9919(651) 275-3000 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Jan 1, 1998
Associted Eye Care Optical LLC237 Radio Dr, Woodbury, MN 55125-4478(651) 275-3000 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

828 Lake St S
Forest Lake, MN 55025

280 Smith Ave N
Ste 840
Saint Paul, MN 55102

237 Radio Dr
Ste 100
Woodbury, MN 55125

525 N Knowles Ave
#200
New Richmond, WI 54017
Phone (715) 483-1785

821 W 8th St
New Richmond, WI 54017
Phone (715) 246-6911

2091 US Highway 8
Saint Croix Falls, WI 54024
Phone (715) 483-5011

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1881699197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 TOWER DR W",
            "address_2": "STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827512",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CURVE CREST BLVD W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "55082",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Rosemary Way",
            "address_purpose": "LOCATION",
            "city": "Lino Lakes",
            "state": "MN",
            "postal_code": "550387530",
            "country_code": "US",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Knowles Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171219",
            "country_code": "US",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 Hillcrest Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540169919",
            "country_code": "US",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 Radio Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551254478",
            "country_code": "US",
            "telephone_number": "651-275-3000",
            "fax_number": "651-275-3032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED EYE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "651-275-3025"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "485",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C47544",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569008100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN7426",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.