Blaine Eye Clinic Optometrists, P.A.
NPI 1043363401 · Durable Medical Equipment & Medical Supplies · Blaine, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blaine Eye Clinic Optometrists, P.A. is a Durable Medical Equipment & Medical Supplies organization in Blaine, MN (NPI 1043363401).
Provider details
- NPI number
- 1043363401
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Lynn Sulerud, Owner(763) 757-7000
Specialties & taxonomies
Suppliers
- Optometrist152W00000X
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Blaine Eye Clinic
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2011-02-15
Frequently asked questions
- What is Blaine Eye Clinic Optometrists, P.A.'s NPI number?
- Blaine Eye Clinic Optometrists, P.A.'s National Provider Identifier (NPI) is 1043363401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blaine Eye Clinic Optometrists, P.A.?
- Blaine Eye Clinic Optometrists, P.A. is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Blaine Eye Clinic Optometrists, P.A. located?
- Blaine Eye Clinic Optometrists, P.A.'s practice location on file with NPPES is 12170 Aberdeen St Ne, Blaine, MN 55449-4716.
- What is Blaine Eye Clinic Optometrists, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Blaine Eye Clinic Optometrists, P.A. is (763) 757-7000.
- Does Blaine Eye Clinic Optometrists, P.A. accept Medicare?
- Blaine Eye Clinic Optometrists, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blaine Eye Clinic Optometrists, P.A.?
- The authorized official listed on Blaine Eye Clinic Optometrists, P.A.'s NPPES record is Lynn Sulerud, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blaine Eye Clinic Optometrists, P.A.'s NPI active?
- Yes — Blaine Eye Clinic Optometrists, P.A.'s NPI (1043363401) is active in the NPPES registry as of the last update on 2011-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.