COMPREHENSIVE OPHTHALMOLOGY, LLC – NPI #1396725602
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

COMPREHENSIVE OPHTHALMOLOGY, LLC is an AHC clinic located in EDINA, MN. NPPES has assigned the NPI number 1396725602 to COMPREHENSIVE OPHTHALMOLOGY, LLC on January 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 19 years ago on Oct 17, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMPREHENSIVE OPHTHALMOLOGY, LLC below.

NPI Profile for
COMPREHENSIVE OPHTHALMOLOGY, LLC

NPI Number
1396725602
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMPREHENSIVE OPHTHALMOLOGY, LLC
Primary location
3209 WEST 76TH ST
#303
EDINA, MN 55435
Phone: (952) 844-2020 Fax: (952) 844-2021
Mailing address
275 HOLLANDER RD
WAYZATA, MN 55391
Phone: (952) 476-8602 Fax: (952) 476-8602
Organization Subpart
No
Authorized Official
PAUL BRUER
OWNER
Phone: (952) 476-8602
Updated
Identifiers

Identifiers for COMPREHENSIVE OPHTHALMOLOGY, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS639R1CO
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.