Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Trevor J Fosso

Optometrist in Sartell, MN · enumerated 2016 · practices at Pinecone Vision Center, PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336597079

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Registry record

Entity type Individual (Type 1)

Name Trevor J Fosso

Sex Male

Practice address 2180 Troop Dr, Sartell, MN, 56377

Phone (320) 258-3915

Fax (320) 258-3917

Enumeration date Jun 2, 2016

Last updated in NPPES Jun 28, 2022

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License MN3499 (MN) Primary

Other identifiers

Identifier	Type	State	Issuer
1336597079	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1336597079 active?

Yes, as of the latest NPPES snapshot, NPI 1336597079 is active (record last updated 2022-06-28).

How do I verify Trevor Fosso's NPI record?

Cross-check NPI 1336597079 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-28.