OrganizationActive
Eyewear Specialists
NPI 1215014378 · Eyewear Supplier · Shakopee, MN
Provider details
- NPI number
- 1215014378
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Cheryl Mayne, Rcm Manager(952) 832-8100
- License
- 4699580 (MN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
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
4201 Dean Lakes Blvd
Suite 100
Shakopee, MN 55379-2829
Phone: (952) 445-5763
Fax: (952) 233-3029
Street-level locationGet directions
Mailing address
7450 France Ave S
Edina, MN 55435-4787
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2016-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.