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Ophthalmology PA

Ophthalmology Physician in Edina, MN · enumerated 2005 · authorized official Jessica Berg, Business Office.

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

National Provider Identifier

1114921996

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Registry record

Entity type Organization (Type 2)
Legal business name Ophthalmology PA
Other name <Unavail>
Practice address 3100 W 70th St, Edina, MN, 55435
Phone (952) 848-8300
Fax (952) 848-8313
Enumeration date Jun 9, 2005
Last updated in NPPES May 1, 2026

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 0026007 (MN) Primary
332H00000X Eyewear Supplier Suppliers · License 0026007 (MN) Secondary

Authorized official

Name Jessica Berg
Title Business Office
Phone (952) 848-8383

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

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.

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Frequently asked questions

What is the NPI number for Ophthalmology PA?
The NPI for Ophthalmology PA is 1114921996, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ophthalmology PA?
NPPES lists Jessica Berg (Business Office) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-01.