BRAINERD EYECARE CENTER, PA – Optometrist, NPI 1942351002

BRAINERD EYECARE CENTER, PA is a healthcare provider. based in Brainerd, Minnesota. specializing in Optometrist. The NPI Number for BRAINERD EYECARE CENTER, PA is 1942351002

Main info

Organization
Name
BRAINERD EYECARE CENTER, PA
NPI
1942351002
Phone
(218) 829-0946
Address
506 LAUREL ST
Authorized Official
ANNE ARCHIBALD CFO
Enumeration Date
16 January 2007
Last Update Date
16 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for BRAINERD EYECARE CENTER, PA

  • 506, Laurel Street, Brainerd, Crow Wing County, Minnesota, 56401, United States

    BRAINERD, MN 564013526

    Phone: (218) 829-0946

    Fax: (218) 829-1279

    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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (344 days ago).

Enrollment records

2

Earliest due date

2025-06-30

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
O20070612000588OClinic/Group PracticeMN2025-08-31
O20100930025988OPhysician - OptometristMN2025-06-30

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.

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 56401)

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Reviews

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Frequently asked questions

What is BRAINERD EYECARE CENTER, PA's NPI number?
BRAINERD EYECARE CENTER, PA's NPI is 1942351002 — the number used across U.S. healthcare to identify this provider.
Is BRAINERD EYECARE CENTER, PA shown as active in public data?
Registry records indicate BRAINERD EYECARE CENTER, PA maintains an active NPI.
What expertise is attributed to BRAINERD EYECARE CENTER, PA?
BRAINERD EYECARE CENTER, PA's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRAINERD EYECARE CENTER, PA?
Travel planning: use Brainerd, Minnesota as the reference point for BRAINERD EYECARE CENTER, PA, then confirm.
Does BRAINERD EYECARE CENTER, PA accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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