SAMANTHA ZIEGLER (OD) – Optometrist, NPI 1548753122

SAMANTHA ZIEGLER (OD) is a healthcare provider. based in Maple grove, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3562 (MN). The NPI Number for SAMANTHA ZIEGLER (OD) is 1548753122

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA ZIEGLER (OD)
NPI
1548753122
Phone
(767) 342-0511
Address
13195 WEAVER LAKE RD
Enumeration Date
8 June 2018
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
6514520344
Graduation Year
2018 (8 years ago)
PAC ID
7012264419
Group Practice PAC ID
4587998802
Professional Enrollment ID
I20180717000844
Address ID
MN551232324EA1340XDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for SAMANTHA ZIEGLER (OD)

  • Pearle Vision, 13195, Weaver Lake Road, Maple Grove, Hennepin County, Minnesota, 55369, United States

    MAPLE GROVE, MN 553699410

    Phone: (767) 342-0511

    Fax: (763) 420-6957

    Type: Mailing

  • 1340 DUCKWOOD DR STE 14

    EAGAN, MN 551231194

    Phone: (651) 349-4699

    Fax: (651) 452-1564

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $131.

Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($67).

Total Amount

$131

General + Research + Ownership

Payments

5

Total payment records

General Amount

$131

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2018-07-17

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
I20180717000844IOptometryMNTBD

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 55369)

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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: 4587998802View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YSC
O P T O M E T R YCO
O P T O M E T R YMN
-VA
O P T O M E T R YOH
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is the standard ID for SAMANTHA ZIEGLER (OD) in the U.S.?
In the U.S., SAMANTHA ZIEGLER (OD) is identified by NPI 1548753122.
Is SAMANTHA ZIEGLER (OD)'s NPI status active today?
Active status means SAMANTHA ZIEGLER (OD)'s NPI record is not deactivated in the public file.
What services align with SAMANTHA ZIEGLER (OD)'s listing?
SAMANTHA ZIEGLER (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to SAMANTHA ZIEGLER (OD)?
SAMANTHA ZIEGLER (OD) shows a connection to Maple Grove, Minnesota in registry-derived data.
Who maintains SAMANTHA ZIEGLER (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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