Elk River Eye Clinic, P.A.
NPI 1063457943 · Optometrist · Elk River, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elk River Eye Clinic, P.A. is a Optometrist organization in Elk River, MN (NPI 1063457943).
Provider details
- NPI number
- 1063457943
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Gary Hoffard, President(763) 441-1055
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
- Optician156FX1800X
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
20 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
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2010-08-06
Frequently asked questions
- What is Elk River Eye Clinic, P.A.'s NPI number?
- Elk River Eye Clinic, P.A.'s National Provider Identifier (NPI) is 1063457943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elk River Eye Clinic, P.A.?
- Elk River Eye Clinic, P.A. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Elk River Eye Clinic, P.A. located?
- Elk River Eye Clinic, P.A.'s practice location on file with NPPES is 19022 Freeport Ave Nw, Elk River, MN 55330-4767.
- What is Elk River Eye Clinic, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Elk River Eye Clinic, P.A. is (763) 441-1055.
- Does Elk River Eye Clinic, P.A. accept Medicare?
- Elk River Eye Clinic, 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 Elk River Eye Clinic, P.A.?
- The authorized official listed on Elk River Eye Clinic, P.A.'s NPPES record is Gary Hoffard, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elk River Eye Clinic, P.A.'s NPI active?
- Yes — Elk River Eye Clinic, P.A.'s NPI (1063457943) is active in the NPPES registry as of the last update on 2010-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.