OrganizationActive
Minnesota Vision Outreach, Inc
NPI 1457563827 · Optometrist · Plymouth, MN
Minnesota Vision Outreach, Inc is a Optometrist organization in Plymouth, MN (NPI 1457563827).
Provider details
- NPI number
- 1457563827
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Samuel Wolfson, Owner(763) 585-8414
- License
- 1706 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 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
9905 45th Avenue North
Suite 110
Plymouth, MN 55422-3315
Phone: (763) 595-8414
Fax: (763) 595-8414
Street-level locationGet directions
Mailing address
9905 45th Avenue North
Plymouth, MN 55422-3315
Registry dates
- Enumerated
- 2007-05-05
- Last updated
- 2016-11-10
Frequently asked questions
- What is Minnesota Vision Outreach, Inc's NPI number?
- Minnesota Vision Outreach, Inc's National Provider Identifier (NPI) is 1457563827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnesota Vision Outreach, Inc?
- Minnesota Vision Outreach, Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Minnesota Vision Outreach, Inc located?
- Minnesota Vision Outreach, Inc's practice location on file with NPPES is 9905 45th Avenue North, Plymouth, MN 55422-3315.
- What is Minnesota Vision Outreach, Inc's phone number?
- The practice phone number listed in the NPPES registry for Minnesota Vision Outreach, Inc is (763) 595-8414.
- Who is the authorized official for Minnesota Vision Outreach, Inc?
- The authorized official listed on Minnesota Vision Outreach, Inc's NPPES record is Samuel Wolfson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnesota Vision Outreach, Inc's NPI active?
- Yes — Minnesota Vision Outreach, Inc's NPI (1457563827) is active in the NPPES registry as of the last update on 2016-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.