Annandale Eye Clinic Inc
NPI 1629148614 · Optometrist · Annandale, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Annandale Eye Clinic Inc is a Optometrist organization in Annandale, MN (NPI 1629148614).
Provider details
- NPI number
- 1629148614
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Terrence Tancabel, Owner(320) 274-3701
- License
- 1765 (MN)
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
Other names (DBA / former)
- Doing business as
- Annandale Eye Clinic
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Annandale Eye Clinic Inc's NPI number?
- Annandale Eye Clinic Inc's National Provider Identifier (NPI) is 1629148614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Annandale Eye Clinic Inc?
- Annandale Eye Clinic Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Annandale Eye Clinic Inc located?
- Annandale Eye Clinic Inc's practice location on file with NPPES is 500 Elm St E, Annandale, MN 55302.
- What is Annandale Eye Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Annandale Eye Clinic Inc is (320) 274-3701.
- Does Annandale Eye Clinic Inc accept Medicare?
- Annandale Eye Clinic Inc 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 Annandale Eye Clinic Inc?
- The authorized official listed on Annandale Eye Clinic Inc's NPPES record is Terrence Tancabel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Annandale Eye Clinic Inc's NPI active?
- Yes — Annandale Eye Clinic Inc's NPI (1629148614) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.