DR. JONAH MITCHELL RESNICK (O.D.) – Optometrist, NPI 1871231084

DR. JONAH MITCHELL RESNICK (O.D.) is a healthcare provider. based in Burnsville, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3785 (MN). The NPI Number for DR. JONAH MITCHELL RESNICK (O.D.) is 1871231084

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONAH MITCHELL RESNICK (O.D.)
NPI
1871231084
Phone
(952) 894-1400
Address
1004 County Road 42 E
Enumeration Date
26 May 2022
Last Update Date
7 July 2022

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
6514808515
Graduation Year
2022 (4 years ago)
PAC ID
0840673000
Group Practice PAC ID
7517921372
Professional Enrollment ID
I20220820000178
Address ID
MN550333490HA1757XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for DR. JONAH MITCHELL RESNICK (O.D.)

  • 1004 County Road 42 E

    Burnsville, MN 553374652

    Phone: (952) 894-1400

    Fax: (952) 808-2216

    Type: Location

  • 12500 MARION LN W APT 4125

    HOPKINS, MN 553051327

    Phone: (952) 200-6121

    Type: Mailing

  • 17690 KENWOOD TRL

    LAKEVILLE, MN 550449764

    Phone: (952) 898-9588

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $456.

Total Amount is formed as General ($456) + Research ($0) + Ownership ($0) = $456.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($285).

Total Amount

$456

General + Research + Ownership

Payments

9

Total payment records

General Amount

$456

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

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: 2022-08-20

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
I20220820000178IOptometryMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92004New patient complete exam of visual system1515$0
92014Established patient complete exam of visual system1414$0
View full utilization report →

Insurance plans in this area (ZIP 55337)

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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: 7517921372View full group profile
NameSpecialtyState
O P T O M E T R YMN
-MN
O P T O M E T R YWI
O P T O M E T R YMN
Optometry, OphthalmologyIN
-WI
-MN

Reviews

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Frequently asked questions

What identifier follows DR. JONAH MITCHELL RESNICK (O.D.) across health systems?
The NPI 1871231084 uniquely identifies DR. JONAH MITCHELL RESNICK (O.D.) in U.S. healthcare data.
Should I treat DR. JONAH MITCHELL RESNICK (O.D.) as an active provider?
Patients and plans typically see DR. JONAH MITCHELL RESNICK (O.D.) as active in the national extract.
How should patients interpret DR. JONAH MITCHELL RESNICK (O.D.)'s specialty?
The extract shows Optometrist for DR. JONAH MITCHELL RESNICK (O.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JONAH MITCHELL RESNICK (O.D.)?
DR. JONAH MITCHELL RESNICK (O.D.) is associated with Burnsville, Minnesota in the same public data insurers reference.
Can I export DR. JONAH MITCHELL RESNICK (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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