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Ophthalmic Plastic and Reconstructive Surgery, P.A.

Specialist in Minneapolis, MN · enumerated 2006 · authorized official Richard Carroll, President/Owner.

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

National Provider Identifier

1386716157

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Registry record

Entity type Organization (Type 2)
Legal business name Ophthalmic Plastic and Reconstructive Surgery, P.A.
Practice address 4887 E Lake Harriet Blvd, Minneapolis, MN, 55419
Enumeration date Nov 15, 2006
Last updated in NPPES Apr 27, 2010

Taxonomy & classification

174400000X Specialist Other Service Providers · License 799 (MN) Primary

Authorized official

Name Richard Carroll
Title President/Owner

Other identifiers

Identifier Type State Issuer
122169D805 Other MN UCARE MINNESOTA
7787270 Medicaid SD -
95322 Other MN HEALTH PARTNERS
16176 Medicaid ND -
0802163 Other MN MEDICA
26128OP Other MN BLUE CROSS BLUE SHIELD MN
031010700 Medicaid MN -
31260500 Medicaid WI -

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 type of organization is Ophthalmic Plastic and Reconstructive Surgery, P.A.?
Ophthalmic Plastic and Reconstructive Surgery, P.A. is registered in NPPES as a Specialist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-27.