Individual provider Active NPI

Timothy Eggimann, OD

  • Optometrist
  • Coon Rapids, MN
National Provider Identifier
1922038926
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2961 Issued in MN
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000307 MN Practitioner - Optometry 2163499781 Reassigns benefits to 2 organizations

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
St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians
Edina Eye Physicians and Surgeons PAGroup PAC ID 1355382698, 22 clinicians

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 100Reported as group
Quality
80.37
Promoting interoperability
96
Improvement activities
40
Cost
74.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Regional Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Edina Eye Physicians and Surgeons PA Optometrist Current Accepting new patients
St. Croix Regional Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Edina Eye Physicians and Surgeons PA CurrentSince Jan 1, 2019 Accepting new patients
Edina Eye Physicians and Surgeons PA CurrentSince Jan 1, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.