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Total Eye Care PA

NPI 1407955420ActiveOrganization· Optometrist· Plymouth, MN

Optometrist in Plymouth, Minnesota, registered in NPPES in September 2006. The authorized official on file is Jeffrey Bruce Anderson, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1407955420
StatusActive
Entity typeOrganization
NPI issuedSep 22, 2006
Last updated in NPPESMay 14, 2025
Certified by providerMay 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——
Clinic/Center261Q00000X2956MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MN)

Medicare sources and data years

Other Optometrist providers in Plymouth

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