Active NPI
Total Eye Care LLC
- Eyewear Supplier
- Blaine, MN
National Provider Identifier
1912332271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 0193
- Legal business name
- TOTAL EYE CARE LLC
- Doing business as
- Total Eye Care LLC
- Practice address
- 10961 Club West Pkwy
Suite 130
Blaine, MN 55449-5866 - Phone
- (763) 571-7550
- Fax
- (763) 253-4142
- NPI assigned
- Sep 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bethany Roberts
- Title
- Business Office Manager
- Phone
- (651) 213-3369
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 0193 | MN | Primary |
Addresses
Primary practice location
10961 Club West Pkwy
Suite 130
Blaine, MN 55449-5866
Mailing address
11725 Stinson Ave
Chisago City, MN 55013-9542
Phone (651) 257-8421
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4602400002 | Other | MN | MEDICARE DME |
| 827983700 | Medicaid | MN |
Other names 1
- Total Eye Care LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755648000000",
"number": "1912332271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11725 STINSON AVE",
"city": "CHISAGO CITY",
"state": "MN",
"postal_code": "550139542",
"telephone_number": "651-257-8421",
"fax_number": "651-257-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10961 CLUB WEST PKWY",
"address_2": "SUITE 130",
"city": "BLAINE",
"state": "MN",
"postal_code": "554495866",
"telephone_number": "763-571-7550",
"fax_number": "763-253-4142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-05",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "BETHANY",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "651-213-3369"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MN",
"license": "0193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "4602400002",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "827983700",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Total Eye Care LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.