SYDNEY TERAGAWA (OPTOMETRIST) – Optometrist, NPI 1396529582

SYDNEY TERAGAWA (OPTOMETRIST) is a healthcare provider. based in Edina, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OPTOMETRIST. They hold a License No. 3888 (MN). The NPI Number for SYDNEY TERAGAWA (OPTOMETRIST) is 1396529582

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SYDNEY TERAGAWA (OPTOMETRIST)
NPI
1396529582
Phone
(952) 922-8118
Address
7000 YORK AVE S
Enumeration Date
21 August 2023
Last Update Date
18 September 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9529351913
Graduation Year
2022 (4 years ago)
PAC ID
3678927555
Group Practice PAC ID
9032455936
Professional Enrollment ID
I20230926003184
Address ID
MN554263919ST8900X7XXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for SYDNEY TERAGAWA (OPTOMETRIST)

  • 7000 YORK AVE S

    EDINA, MN 554354213

    Phone: (952) 922-8118

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($85).

Total Amount

$99

General + Research + Ownership

Payments

2

Total payment records

General Amount

$99

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: 2023-09-26

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
I20230926003184IOptometryMNTBD

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 55435)

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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

What number should I use to identify SYDNEY TERAGAWA (OPTOMETRIST) for billing?
Administrative and clinical systems typically use NPI 1396529582 for SYDNEY TERAGAWA (OPTOMETRIST).
Does the public listing show SYDNEY TERAGAWA (OPTOMETRIST) as active?
SYDNEY TERAGAWA (OPTOMETRIST)'s NPI record reflects an active status in NPPES.
Which specialty label fits SYDNEY TERAGAWA (OPTOMETRIST)?
NPPES ties SYDNEY TERAGAWA (OPTOMETRIST) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SYDNEY TERAGAWA (OPTOMETRIST)?
SYDNEY TERAGAWA (OPTOMETRIST) shows a connection to Edina, Minnesota in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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