Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Minnesota Vision Outreach, Inc

Optometrist in Plymouth, MN · enumerated 2007 · authorized official Samuel Wolfson, Owner.

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

National Provider Identifier

1457563827

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Registry record

Entity type Organization (Type 2)

Legal business name Minnesota Vision Outreach, Inc

Practice address 9905 45th Avenue North, Suite 110, Plymouth, MN, 55422

Phone (763) 595-8414

Fax (763) 595-8414

Enumeration date May 5, 2007

Last updated in NPPES Nov 10, 2016

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 1706 (MN) Primary

Authorized official

Name Samuel Wolfson

Title Owner

Phone (763) 585-8414

Other identifiers

Identifier	Type	State	Issuer
2100002	Other	MN	MEDICA PRIMARY
23979	Other	MN	HEALTH PARTNERS
3C780MI	Other	MN	BLUE PLUS
2115998	Other	MN	MEDICA CHOICE
102877	Other	MN	UCARE
096744100	Medicaid	MN	-
19467WO	Other	MN	BCBS OF MN
2499537	Other	MN	MHP

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-11-10. Verify at npiregistry.cms.hhs.gov.

Where is Minnesota Vision Outreach, Inc located?

The practice location on file with NPPES is in Plymouth, MN.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-10.