Ophthalmology PA
Ophthalmology PA is a healthcare organization registered as Ophthalmology Physician in Edina, MN, holding Type 2 (organization) NPI 1114921996 since 2005. The authorized official on file is Jessica Berg, Business Office.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114921996 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ophthalmology PA |
| Other name | <Unavail> |
| Practice address | 3100 W 70TH ST, Edina, MN, 55435 |
| Phone | 9528488300 |
| Fax | 9528488313 |
| Enumeration date | 2005-06-09 |
| Last updated in NPPES | 2026-05-01 |
Authorized official
| Name | Jessica Berg |
|---|---|
| Title | Business Office |
| Phone | 9528488383 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Secondary | 0026007 | MN |
| 207W00000X | Ophthalmology Physician | Primary | 0026007 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP4332 | Other | MN | RAILROAD MEDICARE |
| 130790P | Other | MN | BLUE SHIELD OF MINNESOTA |
| 156 | Other | MN | HEALTH PARTNERS |
| 585010000 | Medicaid | MN | — |
| D044 | Other | MN | UCARE MINNESOTA |
Copy-ready billing details
Provider: Ophthalmology PA NPI: 1114921996 Taxonomy: 207W00000X (Ophthalmology Physician) Address: 3100 W 70TH ST, Edina, MN, 55435
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851346209 | Todd Zwickey | Individual | Ophthalmology Physician | Edina, MN |
| 1962440610 | Sanaz Afiat | Individual | Ophthalmology Physician | Edina, MN |
| 1013956317 | James Mitchell | Individual | Ophthalmology Physician | Edina, MN |
| 1093755282 | Scott Sanderson | Individual | Ophthalmology Physician | Edina, MN |
| 1699918904 | Donald Le Win | Individual | Ophthalmology Physician | Edina, MN |
| 1093032435 | Adam Moss | Individual | Ophthalmology Physician | Edina, MN |
| 1609212026 | David Patterson | Individual | Ophthalmology Physician | Edina, MN |
Verify this record
Cross-check NPI 1114921996 against the authoritative CMS record: view Ophthalmology PA on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Ophthalmology PA?
Who is the authorized official for Ophthalmology PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-01.