Ophthalmology PA
NPI 1114921996 · Ophthalmology Physician · Edina, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ophthalmology PA is a Ophthalmology Physician organization in Edina, MN (NPI 1114921996).
Provider details
- NPI number
- 1114921996
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Berg, Business Office(952) 848-8383
- License
- 0026007 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
- Mccannel Eye Clinic
Registry dates
- Enumerated
- 2005-06-09
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Frequently asked questions
- What is Ophthalmology PA's NPI number?
- Ophthalmology PA's National Provider Identifier (NPI) is 1114921996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ophthalmology PA?
- Ophthalmology PA is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Ophthalmology PA located?
- Ophthalmology PA's practice location on file with NPPES is 3100 W 70th St, Edina, MN 55435-4227.
- What is Ophthalmology PA's phone number?
- The practice phone number listed in the NPPES registry for Ophthalmology PA is (952) 848-8300.
- Does Ophthalmology PA accept Medicare?
- Ophthalmology PA 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 Ophthalmology PA?
- The authorized official listed on Ophthalmology PA's NPPES record is Jessica Berg, Business Office. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ophthalmology PA's NPI active?
- Yes — Ophthalmology PA's NPI (1114921996) is active in the NPPES registry as of the last update on 2026-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.