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)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1670 Beam Ave
Ste 202
Maplewood, MN 55109-1129
Phone: (651) 777-6149
Street-level locationGet directions
Mailing address
1670 Beam Ave
Maplewood, MN 55109-1129
Registry dates
- 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.