Individual provider Active NPI

Daniel Raies, OD

  • Optometrist
  • St Louis Park, MN
National Provider Identifier
1912485095
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3572 Issued in MN
Practice address
8900 Minnesota 7
St Louis Park, MN 55426
Phone
(952) 933-4858
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3572 MN Primary

Addresses

Primary practice location

8900 Minnesota 7
St Louis Park, MN 55426

Mailing address

1078 Cherokee Ave
West St Paul, MN 55118-1101

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
I20220825000715 MN Practitioner - Optometry 2860876893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Eye Care PAGroup PAC ID 9032455936, 13 clinicians

Practice addresses (Care Compare)

18275 Kenrick Ave
Lakeville, MN 55044-7306
Phone (952) 892-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3572MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Eye Care, PA Optometrist CurrentSince Jul 27, 2022 Accepting new patients

Locations

851 W 78th St
Chanhassen, MN 55317
Phone (952) 252-1208

18275 Kenrick Ave
Lakeville, MN 55044
Phone (952) 892-0028

7000 York Ave S
Minneapolis, MN 55435
Phone (952) 922-8118

15800 87th St NE
Otsego, MN 55330
Phone (763) 252-1316

6445 Richfield Pkwy
Richfield, MN 55423
Phone (612) 243-0201

21615 S Diamond Lake Rd
Rogers, MN 55374
Phone (763) 428-4831

14333 Highway 13 S
Savage, MN 55378
Phone (952) 226-1411

8900 Highway 7
St Louis Park, MN 55426
Phone (952) 933-4858

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1912485095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 CHEROKEE AVE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551181101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 MINNESOTA 7",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "952-933-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIES",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.