Active NPI
Timothy Eggimann, OD
- Optometrist
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2961
- Practice address
- 3777 Coon Rapids Blvd NW Ste 100
Coon Rapids, MN 55433-2630 - Phone
- (763) 421-7420
- Fax
- (763) 421-0730
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2961 | MN | Primary |
Addresses
Primary practice location
3777 Coon Rapids Blvd NW Ste 100
Coon Rapids, MN 55433-2630
Mailing address
3777 Coon Rapids Blvd NW Ste 100
Coon Rapids, MN 55433-2630
Phone (763) 421-7420
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12375 Lindstrom LN
Lindstrom, MN 55045-9551
Phone (651) 400-2240
3777 Coon Rapids Blvd NW
Suite 100
Coon Rapids, MN 55433-2630
Phone (763) 421-7420
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.52 of 100
- Quality
- 80.37
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 74.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Edina Eye Physicians and Surgeons PA | Optometrist | Current | Accepting new patients |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Edina Eye Physicians and Surgeons PA | Current | Accepting new patients | |
| Edina Eye Physicians and Surgeons PA | Current | Accepting new patients | |
| Visionworks Inc | Past | Accepting new patients | |
| St. Croix Regional Medical Center | Past | Accepting new patients |
Locations
11855 Ulysses St NE
Ste 140
Blaine, MN 55434
Phone (763) 421-7420
7450 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (952) 832-8100
3777 Coon Rapids Blvd NW
Ste 100
Minneapolis, MN 55433
Phone (763) 421-7420
4520 Centerville Rd
White Bear Lk, MN 55127
Phone (651) 426-1141
216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426
Interoperability endpoints
- teggimann69018@excellian.direct.allina.com
Organizations & group practices 7
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.
-
- Medical Specialty Clinic/Center
- Blaine, MN
- NPI 1114124971
-
- Ophthalmology Physician
- Saint Paul, MN
- NPI 1972950814
-
- Rural Health Clinic/Center
- Balsam Lake, WI
- NPI 1013423219
-
- Multi-Specialty Clinic/Center
- Lindstrom, MN
- NPI 1033451620
-
- Eyewear Supplier
- Omaha, NE
- NPI 1205924792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922038926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3777 COON RAPIDS BLVD NW STE 100",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554332630",
"telephone_number": "763-421-7420",
"fax_number": "763-421-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3777 COON RAPIDS BLVD NW STE 100",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554332630",
"telephone_number": "763-421-7420",
"fax_number": "763-421-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGIMANN",
"first_name": "TIMOTHY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.