Individual provider Active NPI

Jeffrey M Bieter, OD

  • Optometrist
  • Cottage Grove, MN
National Provider Identifier
1962450627
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2478 Issued in MN
Practice address
6936 Pine Arbor Dr S Ste 110
Cottage Grove, MN 55016-4672
Phone
(651) 769-1020
Fax
(651) 769-1021
NPI assigned
May 5, 2006
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2478 MN Primary

Addresses

Primary practice location

6936 Pine Arbor Dr S Ste 110
Cottage Grove, MN 55016-4672

Mailing address

6936 Pine Arbor Dr S Ste 110
Cottage Grove, MN 55016-4672
Phone (651) 769-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060605000019 MN Practitioner - Optometry 5496766503 Reassigns benefits to 1 organization
I20180119000171 WI Practitioner - Optometry 5496766503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Care Prescott, LTD.Group PAC ID 8224397260, 5 clinicians
Premier Eye Care, Cottage Grove, LTDGroup PAC ID 5395756407, 4 clinicians

Practice addresses (Care Compare)

1435 N Acres Rd
Suite 700
Prescott, WI 54021-7053

6936 Pine Arbor Dr S
Suite 110
Cottage Grove, MN 55016-4645
Phone (651) 769-1020

6936 Pine Arbor Dr S
Suite 110
Cottage Grove, MN 55016-4672

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2478MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eye Care, Cottage Grove, LTD Optometrist CurrentSince Jul 1, 2006 Accepting new patients

Locations

6936 Pine Arbor Dr S
Ste 110
Cottage Grove, MN 55016
Phone (651) 769-1020

8617 W Point Douglas Rd S
Ste 110
Cottage Grove, MN 55016
Phone (651) 459-2000

1435 N Acres Rd
Ste 700
Prescott, WI 54021
Phone (715) 262-1010

Interoperability endpoints

  • Direct secure messaging: jeffrey.bieter@direct.revolutionehr.com

Organizations & group practices 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1962450627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 PINE ARBOR DR S STE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164672",
            "telephone_number": "651-769-1020",
            "fax_number": "651-769-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 PINE ARBOR DR S STE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164672",
            "telephone_number": "651-769-1020",
            "fax_number": "651-769-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIETER",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

Verify at the official NPI Registry.