Burnsville Eye Clinic LLC
NPI 1255575973ActiveOrganization· Optometrist· Burnsville, MN
Optometrist in Burnsville, Minnesota, registered in NPPES in April 2009, part of South Suburban Eye Care Specialists PA. The authorized official on file is Andrew Joseph Mattson, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255575973 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | South Suburban Eye Care Specialists PA |
| NPI issued | Apr 24, 2009 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2823 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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