Eyewear Specialists
Eyewear Specialists is a healthcare organization registered as Eyewear Supplier in Shakopee, MN, holding Type 2 (organization) NPI 1215014378 since 2006. The authorized official on file is Cheryl Mayne, Rcm Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215014378 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Eyewear Specialists |
| Practice address | 4201 DEAN LAKES BLVD, SUITE 100, Shakopee, MN, 55379 |
| Phone | 9524455763 |
| Fax | 9522333029 |
| Enumeration date | 2006-11-01 |
| Last updated in NPPES | 2016-06-16 |
Authorized official
| Name | Cheryl Mayne |
|---|---|
| Title | Rcm Manager |
| Phone | 9528328100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Primary | 4699580 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21-27952 | Other | MN | MEDICA |
| 51083CL | Other | MN | BCBS |
| 6944973-00 | Medicaid | MN | — |
Copy-ready billing details
Provider: Eyewear Specialists NPI: 1215014378 Taxonomy: 332H00000X (Eyewear Supplier) Address: 4201 DEAN LAKES BLVD, SUITE 100, Shakopee, MN, 55379
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740382274 | Edina Eye Physicians and Surgeons PA | Organization | Ophthalmology Physician | Shakopee, MN |
| 1730308792 | Shakopee Dental P.L.L.C. | Organization | General Practice Dentistry | Shakopee, MN |
| 1730439688 | Tamara Nimmo | Individual | Medical Physician Assistant | Shakopee, MN |
| 1891328050 | Rebecca Rothwell | Individual | Behavior Technician | Shakopee, MN |
| 1861019937 | Jamie Brandell | Individual | Behavior Technician | Shakopee, MN |
| 1932710514 | Taylor Donart | Individual | Other Technician | Shakopee, MN |
| 1639783228 | Grace Lee | Individual | Other Technician | Shakopee, MN |
| 1104430255 | Harley Brake Walker | Individual | Behavior Technician | Shakopee, MN |
Verify this record
Cross-check NPI 1215014378 against the authoritative CMS record: view Eyewear Specialists 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 Eyewear Specialists?
Who is the authorized official for Eyewear Specialists?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-06-16.