Individual provider Active NPI

Emma Panning, OD

  • Optometrist
  • Le Sueur, MN
National Provider Identifier
1891535993
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3923 Issued in MN
Practice address
101 Main St S Ste 103105
Le Sueur, MN 56058-7502
Phone
(507) 665-3366
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3923 MN Primary

Addresses

Primary practice location

101 Main St S Ste 103105
Le Sueur, MN 56058-7502

Mailing address

101 Main St S Ste 103105
Le Sueur, MN 56058-7502
Phone (507) 665-3366

Other practice location 1

168 Commerce Dr E
Belle Plaine, MN 56011-2901
Phone (952) 873-5554

Other identifiers 1

IdentifierTypeStateIssuer
3923OtherMNSTATE OF MN O.D LIC

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
I20240705001633 MN Practitioner - Optometry 3971047655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Le Sueur Eyecare Center LLCGroup PAC ID 9032586193, 3 clinicians
Belle Plaine Eyecare Center LLCGroup PAC ID 6305169830, 2 clinicians

Practice addresses (Care Compare)

101 Main St S
Suite 103105
Le Sueur, MN 56058-7502
Phone (507) 665-3366

168 Commerce Dr E
Belle Plaine, MN 56011-2901
Phone (952) 873-5554

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3923MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Le Sueur Eyecare Center LLC Optometrist CurrentSince Jun 3, 2024 Accepting new patients
Belle Plaine Eyecare Center LLC Optometrist CurrentSince Jun 3, 2024 Accepting new patients

Locations

168 Commerce Dr E
Belle Plaine, MN 56011
Phone (952) 873-5554

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1891535993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST S STE 103105",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560587502",
            "telephone_number": "507-665-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST S STE 103105",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560587502",
            "telephone_number": "507-665-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 Commerce Dr E",
            "address_purpose": "LOCATION",
            "city": "Belle Plaine",
            "state": "MN",
            "postal_code": "560112901",
            "country_code": "US",
            "telephone_number": "952-873-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANNING",
        "first_name": "EMMA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MN O.D LIC",
            "identifier": "3923",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Sueur, MN

Sources for this page

Verify at the official NPI Registry.