Organization Active NPI

Minnesota Vision Therapy Center LLC

  • Optometrist
  • Eden Prairie, MN
National Provider Identifier
1992688071
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MINNESOTA VISION THERAPY CENTER LLC
Practice address
9531 W 78TH St Ste 200
Eden Prairie, MN 55344-3889
Phone
(952) 844-0844
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Inna Timshina
Title
Owner
Phone
(952) 844-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9531 W 78TH St Ste 200
Eden Prairie, MN 55344-3889

Mailing address

9531 W 78TH St Ste 200
Eden Prairie, MN 55344-3889
Phone (952) 844-0844

National Provider Directory

National Provider Directory

Locations

9531 W 78th St
Ste 200
Eden Prairie, MN 55344
Phone (952) 844-0844

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1992688071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9531 W 78TH ST STE 200",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443889",
            "telephone_number": "952-844-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9531 W 78TH ST STE 200",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443889",
            "telephone_number": "952-844-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA VISION THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "TIMSHINA",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-844-0844"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.