COMMUNITY EYE CLINIC – Optometrist, NPI 1417100629

COMMUNITY EYE CLINIC is a healthcare provider. based in Maplewood, Minnesota. specializing in Optometrist. The organization holds a License No. LD2140000 (MN). The NPI Number for COMMUNITY EYE CLINIC is 1417100629

Main info

Organization
Name
COMMUNITY EYE CLINIC
NPI
1417100629
Phone
Not provided
Address
1670 BEAM AVE
Authorized Official
DR. JONATHAN LARSON OWNER
Enumeration Date
31 October 2008
Last Update Date
31 October 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for COMMUNITY EYE CLINIC

  • 1670, Beam Avenue, Maplewood, Ramsey County, Minnesota, 55109, United States

    STE 202

    MAPLEWOOD, MN 551091129

    Phone:

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 55109)

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Reviews

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Frequently asked questions

Where can patients find COMMUNITY EYE CLINIC's NPI?
You can confirm COMMUNITY EYE CLINIC with NPI 1417100629; it appears in the national provider directory.
Does this profile mean COMMUNITY EYE CLINIC is currently active?
Yes — COMMUNITY EYE CLINIC appears active in the national provider directory.
Can you summarize COMMUNITY EYE CLINIC's specialty in plain language?
Clinically, the directory lists COMMUNITY EYE CLINIC with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for COMMUNITY EYE CLINIC?
We surface Maplewood, Minnesota for COMMUNITY EYE CLINIC based on available NPPES addresses.
Is COMMUNITY EYE CLINIC a real provider?
This page reflects official NPPES data for NPI 1417100629. Always confirm identity and privileges with the practice and licensing boards.

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