Aaron Blaine Mjelstad, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2782 Issued in MN

Practice address

29 9TH Ave N
Hopkins, MN 55343-8087

Phone

(952) 935-2020

Fax

(952) 935-5660

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hopkins Eye Clinic PLLCGroup PAC ID 7416031513, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hopkins Eye Clinic, PLLC

  • Clinic/Center
  • Hopkins, MN
  • NPI 1710160213
  Medicare reassignment Care Compare group NPD Authorized official
• Aaron Blaine Mielstad

  • Optometrist
  • St Paul, MN
  • NPI 1265527303
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1952347056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 WATER ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311825",
            "telephone_number": "952-401-6300",
            "fax_number": "952-401-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 9TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438087",
            "telephone_number": "952-935-2020",
            "fax_number": "952-935-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MJELSTAD",
        "first_name": "AARON",
        "middle_name": "BLAINE",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Community Services
• Minnesota Community Services, Inc.
• Minnesota Home Care Services
• Mission Group Home LLC
• Missy Home Care Services, LLC
• MN Neurodiverse Counseling LLC
• MN UC Providers LTD
• Abubakar Dahir Mohamed
• Ibrahim Mohamed
• Nimo Mohamed

• Optometrist in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.

Verify at the official NPI Registry.