CHARLES DORLAND (O.D.) – Optometrist, NPI 1104800804

CHARLES DORLAND (O.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2028 (MN). The NPI Number for CHARLES DORLAND (O.D.) is 1104800804

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES DORLAND (O.D.)
NPI
1104800804
Phone
(952) 993-4500
Address
8170 33RD AVE S
Enumeration Date
6 December 2005
Last Update Date
29 February 2016

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9529938300
Graduation Year
1985 (41 years ago)
PAC ID
8426184169
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20100331001250
Address ID
MN554274486GO8401XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

881 OPTOMETRY in MN

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Provider Addresses for CHARLES DORLAND (O.D.)

  • 33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States

    PO BOX 1309 MAIL STOP 21110Q

    MINNEAPOLIS, MN 554254516

    Phone: (952) 993-4500

    Type: Mailing

  • 15111, Twelve Oaks Center Drive, Minnetonka, Hennepin County, Minnesota, 55305, United States

    MINNETONKA, MN 553055201

    Phone: (952) 993-4500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-31

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100331001250IOptometryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system404403$0
92012Established patient problem focused exam of visual system4747$0
99213Established patient office or other outpatient visit, 20-29 minutes3735$0
99212Established patient office or other outpatient visit, 10-19 minutes2626$0
92083Exam of visual field with extended testing2019$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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Provider's Procedures

CHARLES DORLAND (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMN92012Eye and medical examination for diagnosis and treatment, established patient5353
OPTOMETRYMN92083Measurement of field of vision during daylight conditions1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physical Therapist In Private PracticeMN
D E R M A T O L O G YMN
-MN
O B S T E T R I C S/ G Y N E C O L O G YMN
-MN

Reviews

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Frequently asked questions

Can I verify CHARLES DORLAND (O.D.) with an NPI only?
You can start verification with NPI 1104800804 for CHARLES DORLAND (O.D.), then check state licensing separately.
Can I rely on CHARLES DORLAND (O.D.) being an active provider?
As of the registry snapshot, CHARLES DORLAND (O.D.) is marked active.
What taxonomy line describes CHARLES DORLAND (O.D.)?
For research purposes, treat CHARLES DORLAND (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is CHARLES DORLAND (O.D.) based?
CHARLES DORLAND (O.D.) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Why does CHARLES DORLAND (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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