ANTHONY DOFFIN (O.D.) – Optometrist, NPI 1366520538

ANTHONY DOFFIN (O.D.) is a healthcare provider. based in Blaine, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3004 (MN). The NPI Number for ANTHONY DOFFIN (O.D.) is 1366520538

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY DOFFIN (O.D.)
NPI
1366520538
Phone
(651) 747-7311
Address
3026 ASPEN LAKE DR NE
Enumeration Date
2 November 2006
Last Update Date
29 November 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
6127814730
Graduation Year
2004 (22 years ago)
PAC ID
1759338585
Group Practice PAC ID
2163314600
Professional Enrollment ID
I20050405000167
Address ID
MN554183208ST2929XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for ANTHONY DOFFIN (O.D.)

  • 3026 ASPEN LAKE DR NE

    BLAINE, MN 554497517

    Phone: (651) 747-7311

    Type: Mailing

  • 2929 PENTAGON DRIVE

    SAINT ANTHONY, MN 55418

    Phone: (612) 781-4730

    Fax: (763) 784-9627

    Type: Location

  • Pheasant Ridge Drive Northeast, Blaine, Anoka County, Minnesota, 55014, United States

    BLAINE, MN 55449

    Phone: (763) 784-9700

    Fax: (763) 784-9627

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Alcon Vision LLC ($65).

Total Amount

$119

General + Research + Ownership

Payments

7

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2005-04-05

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
I20050405000167IOptometryMNTBD

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 55449)

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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: 2163314600View full group profile
NameSpecialtyState
O P T O M E T R YMN

Reviews

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Frequently asked questions

How do I look up ANTHONY DOFFIN (O.D.) by NPI?
Use NPI 1366520538 when you need to reference ANTHONY DOFFIN (O.D.) in forms, claims, or directories.
Is ANTHONY DOFFIN (O.D.) currently active in the NPI registry?
CMS-published data lists ANTHONY DOFFIN (O.D.) as an active registrant.
Can you summarize ANTHONY DOFFIN (O.D.)'s specialty in plain language?
Clinically, the directory lists ANTHONY DOFFIN (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for ANTHONY DOFFIN (O.D.)?
We surface Blaine, Minnesota for ANTHONY DOFFIN (O.D.) based on available NPPES addresses.
How can I contact ANTHONY DOFFIN (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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