SOUTHWEST EYE CARE INC – Ophthalmology Physician, NPI 1679623862
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTHWEST EYE CARE INC
204 Lewis Ave S Ste 102
Watertown, MN 553884501
Phone: (952) 955-3553
Fax: (952) 955-1900
Type: Location
304 W Highway 212
Norwood, MN 553689775
Phone: (952) 467-2250
Fax: (952) 467-2270
Type: Location
2204 Commerce Blvd
Mound, MN 553641547
Phone: (952) 472-3937
Fax: (952) 472-7487
Type: Location
13550 Wayzata Blvd
Minnetonka, MN 553051850
Phone: (952) 479-6320
Fax: (952) 544-0547
Type: Location
218 Main St S Ste 105
Hutchinson, MN 553502601
Phone: (320) 587-2593
Fax: (320) 587-5852
Type: Location
1201 Greeley Ave N Ste 3
Glencoe, MN 553362135
Phone: (320) 864-2020
Fax: (320) 864-6678
Type: Location
741 Enterprise Dr E
Belle Plaine, MN 560112339
Phone: (952) 495-6070
Fax: (952) 873-6167
Type: Location
Town Dental - Chaska, 1200, Chaska Creek Way, Chaska, Carver County, Minnesota, 55318, United States
SUITE 110
CHASKA, MN 553182525
Phone: (952) 466-3937
Fax: (952) 466-3936
Type: Mailing
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
2
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050921000661 | O | Clinic/Group Practice | MN | 2023-08-31 |
| O20100930060646 | O | Physician - Optometrist | MN | 2024-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 55388)
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