What is Community Eye Clinic's NPI number?

Community Eye Clinic's National Provider Identifier (NPI) is 1417100629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Community Eye Clinic?

Community Eye Clinic is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).

Where is Community Eye Clinic located?

Community Eye Clinic's practice location on file with NPPES is 1670 Beam Ave, Maplewood, MN 55109-1129.

What is Community Eye Clinic's phone number?

The practice phone number listed in the NPPES registry for Community Eye Clinic is (651) 777-6149.

Who is the authorized official for Community Eye Clinic?

The authorized official listed on Community Eye Clinic's NPPES record is Jonathan Larson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Community Eye Clinic's NPI active?

Yes — Community Eye Clinic's NPI (1417100629) is active in the NPPES registry as of the last update on 2008-10-31.

OrganizationActive

Community Eye Clinic

NPI 1417100629 · Optometrist · Maplewood, MN

Community Eye Clinic is a Optometrist organization in Maplewood, MN (NPI 1417100629).

Provider details

NPI number: 1417100629
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Organization subpart: No
Authorized official: Jonathan Larson, Owner(651) 777-6149
License: LD2140000 (MN)

Practice location

1670 Beam Ave

Ste 202

Maplewood, MN 55109-1129

Phone: (651) 777-6149

Street-level locationGet directions

More MN providers

Mailing address

1670 Beam Ave

Maplewood, MN 55109-1129

Specialties & taxonomies

OptometristPrimary152W00000XLicense LD2140000 (MN)
Eye and Vision Services Providers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 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.

Enumerated: 2008-10-31
Last updated: 2008-10-31

Frequently asked questions

What is Community Eye Clinic's NPI number?: Community Eye Clinic's National Provider Identifier (NPI) is 1417100629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Community Eye Clinic?: Community Eye Clinic is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
Where is Community Eye Clinic located?: Community Eye Clinic's practice location on file with NPPES is 1670 Beam Ave, Maplewood, MN 55109-1129.
What is Community Eye Clinic's phone number?: The practice phone number listed in the NPPES registry for Community Eye Clinic is (651) 777-6149.
Who is the authorized official for Community Eye Clinic?: The authorized official listed on Community Eye Clinic's NPPES record is Jonathan Larson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Community Eye Clinic's NPI active?: Yes — Community Eye Clinic's NPI (1417100629) is active in the NPPES registry as of the last update on 2008-10-31.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions