Organization Active NPI

Total Eye Care LLC

  • Eyewear Supplier
  • Blaine, MN
National Provider Identifier
1912332271
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
0193 Issued in MN
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

Updated by the provider on Aug 20, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4602400002OtherMNMEDICARE DME
827983700MedicaidMN

Other names 1

  • Total Eye Care LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.