Maple Grove Vision Clinic, P.A.
NPI 1366472342 · Optometrist · Maple Grove, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maple Grove Vision Clinic, P.A. is a Optometrist organization in Maple Grove, MN (NPI 1366472342).
Provider details
- NPI number
- 1366472342
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Linda Thiel, Clinic Administrator(763) 420-8030
Specialties & taxonomies
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
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2009-08-31
Frequently asked questions
- What is Maple Grove Vision Clinic, P.A.'s NPI number?
- Maple Grove Vision Clinic, P.A.'s National Provider Identifier (NPI) is 1366472342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maple Grove Vision Clinic, P.A.?
- Maple Grove Vision Clinic, P.A. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Maple Grove Vision Clinic, P.A. located?
- Maple Grove Vision Clinic, P.A.'s practice location on file with NPPES is 13645 Grove Dr, Maple Grove, MN 55311-4405.
- What is Maple Grove Vision Clinic, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Maple Grove Vision Clinic, P.A. is (763) 420-8030.
- Does Maple Grove Vision Clinic, P.A. accept Medicare?
- Maple Grove Vision 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 Maple Grove Vision Clinic, P.A.?
- The authorized official listed on Maple Grove Vision Clinic, P.A.'s NPPES record is Linda Thiel, Clinic Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maple Grove Vision Clinic, P.A.'s NPI active?
- Yes — Maple Grove Vision Clinic, P.A.'s NPI (1366472342) is active in the NPPES registry as of the last update on 2009-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.