Retina Consultants of Minnesota – Ophthalmology Physician, NPI 1891783965
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Retina Consultants of Minnesota
6099 Wayzata Blvd Ste 130
St Louis Park, MN 554165538
Phone: (763) 550-1002
Type: Location
2830 Cutters Grove Ave Ste 100
Anoka, MN 553036212
Phone: (612) 871-2292
Type: Location
France Avenue South, Minneapolis, Hennepin County, Minnesota, 55431, United States
SUITE 310
MINNEAPOLIS, MN 554355800
Phone: (952) 897-1175
Fax: (952) 897-1178
Type: Mailing
3601 W 76TH ST STE 300
EDINA, MN 554353004
Phone: (952) 929-1131
Fax: (952) 929-8873
Type: Mailing
3601 W 76TH ST STE 325
EDINA, MN 554355242
Phone: (952) 929-1131
Fax: (952) 929-8873
Type: Location
11855 Ulysses St NE Ste 110
Blaine, MN 554343948
Phone: (763) 235-4104
Fax: (763) 755-0277
Type: Location
4316 Rice Lake Rd Ste 106
Duluth, MN 558114012
Phone: (218) 625-5020
Fax: (218) 625-8179
Type: Location
4150 2nd St S Ste 120
Saint Cloud, MN 563017314
Phone: (320) 654-8353
Fax: (320) 654-8663
Type: Location
7115 Tamarack Rd Ste 100
Woodbury, MN 551251214
Phone: (651) 361-8100
Fax: (651) 361-8101
Type: Location
2485 Maplewood Dr N Ste 213
Maplewood, MN 551091980
Phone: (612) 871-2292
Type: Location
99 Navaho Ave Ste 100
Mankato, MN 560014877
Phone: (612) 871-2292
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2006-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (585 days ago).
Enrollment records
1
Earliest due date
2024-10-31
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 |
|---|---|---|---|---|
| O20060718000015 | O | Clinic/Group Practice | MN | 2024-10-31 |
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 55416)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.