DR. ANDREW JON SWEETER (OD) – Optometrist, NPI 1841020302

DR. ANDREW JON SWEETER (OD) is a healthcare provider. based in Maple grove, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3954 (MN). The NPI Number for DR. ANDREW JON SWEETER (OD) is 1841020302

Main info

Male
2 Years Of Experience
Name
DR. ANDREW JON SWEETER (OD)
NPI
1841020302
Phone
(763) 420-5112
Address
13195 WEAVER LAKE RD
Enumeration Date
7 August 2024
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7634205112
Graduation Year
2024 (2 years ago)
PAC ID
3072054238
Group Practice PAC ID
9537328075
Professional Enrollment ID
I20240916002808
Address ID
MN553699410MA13195RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for DR. ANDREW JON SWEETER (OD)

  • 13195 WEAVER LAKE RD

    MAPLE GROVE, MN 553699410

    Phone: (763) 420-5112

    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)

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: 2024-09-16

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
I20240916002808IOptometryMNTBD

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: 9537328075View 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 YCO
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 DR. ANDREW JON SWEETER (OD) by NPI?
Use NPI 1841020302 when you need to reference DR. ANDREW JON SWEETER (OD) in forms, claims, or directories.
Is DR. ANDREW JON SWEETER (OD)'s NPI currently valid?
The extract we use shows DR. ANDREW JON SWEETER (OD) as active.
Can you summarize DR. ANDREW JON SWEETER (OD)'s specialty in plain language?
Clinically, the directory lists DR. ANDREW JON SWEETER (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. ANDREW JON SWEETER (OD) practice in Minnesota?
You will see Maple Grove, Minnesota on file for DR. ANDREW JON SWEETER (OD) alongside any extra practice locations.
Is DR. ANDREW JON SWEETER (OD) a real provider?
This page reflects official NPPES data for NPI 1841020302. Always confirm identity and privileges with the practice and licensing boards.

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