THOMAS L ELTON (OD) – Corneal and Contact Management Optometrist, NPI 1134416605

THOMAS L ELTON (OD) is a healthcare provider. based in Rogers, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3231 (MN). The NPI Number for THOMAS L ELTON (OD) is 1134416605

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS L ELTON (OD)
NPI
1134416605
Phone
(763) 428-4831
Address
21615 S Diamond Lake Rd
Enumeration Date
6 July 2011
Last Update Date
18 May 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9529228118
Graduation Year
2011 (15 years ago)
PAC ID
6800066283
Group Practice PAC ID
9032455936
Professional Enrollment ID
I20110822000151
Address ID
MN554354213ED7000XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for THOMAS L ELTON (OD)

  • 21615 S Diamond Lake Rd

    Rogers, MN 553748893

    Phone: (763) 428-4831

    Fax: (763) 428-9052

    Type: Location

  • 15800 87th St NE

    Otsego, MN 553306546

    Phone: (763) 441-3824

    Fax: (763) 441-3332

    Type: Location

  • 6445 Richfield Pkwy

    Richfield, MN 554236400

    Phone: (612) 861-0259

    Fax: (612) 243-0204

    Type: Location

  • 8900 Highway 7

    St Louis Park, MN 554263919

    Phone: (953) 935-1913

    Fax: (952) 933-4817

    Type: Location

  • 9801 DUPONT AVE S

    SUITE 425

    BLOOMINGTON, MN 554313100

    Phone: (952) 888-5800

    Type: Mailing

  • PO BOX 1170

    MAPLE GROVE, MN 553116170

    Phone: (763) 746-2094

    Type: Mailing

  • 7000 YORK AVE S

    EDINA, MN 554354213

    Phone: (952) 929-1159

    Fax: (952) 922-9308

    Type: Location

  • 14333 Highway 13 S

    Savage, MN 553782153

    Phone: (952) 226-1412

    Fax: (952) 226-1413

    Type: Location

  • 18275 Kenrick Ave

    Lakeville, MN 550447306

    Phone: (952) 892-5400

    Fax: (952) 892-8978

    Type: Location

  • 851 W 78th St

    Chanhassen, MN 553179579

    Phone: (952) 474-3649

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $940.

Total Amount is formed as General ($940) + Research ($0) + Ownership ($0) = $940.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: CooperVision Inc. ($439).

Total Amount

$940

General + Research + Ownership

Payments

16

Total payment records

General Amount

$940

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-08-22

PECOS data refreshed: 2026-05-27

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
I20110822000151IOptometryMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55374)

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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: 9032455936View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YWI
O P T O M E T R YOH
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

How do I look up THOMAS L ELTON (OD) by NPI?
Use NPI 1134416605 when you need to reference THOMAS L ELTON (OD) in forms, claims, or directories.
Does this profile mean THOMAS L ELTON (OD) is currently active?
Yes — THOMAS L ELTON (OD) appears active in the national provider directory.
Can you summarize THOMAS L ELTON (OD)'s specialty in plain language?
Clinically, the directory lists THOMAS L ELTON (OD) with Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for THOMAS L ELTON (OD)?
The page summarizes Rogers, Minnesota for THOMAS L ELTON (OD); expand the address list for detail.
How can I contact THOMAS L ELTON (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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