Maple Grove Vision Clinic, P.A.
NPI 1366472342ActiveOrganization· Optometrist· Maple Grove, MN
Optometrist in Maple Grove, Minnesota, registered in NPPES in July 2006. The authorized official on file is Linda M. Thiel, Clinic Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366472342 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 4, 2006 |
| Last updated in NPPES | Aug 31, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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) |
|---|
Other Optometrist providers in Maple Grove
- 1740313824
- 1962762039
- 1346453735
- 1720535263
- 1811191513
- 1528407905
- 1336316249
- 1184409153
- 1497057871
- 1164861357
- 1053504779
- 1811409089