Eagan Eye Clinic LLC
Eagan Eye Clinic LLC is a healthcare organization registered as Optometrist in Eagan, MN, holding Type 2 (organization) NPI 1477732337 since 2007. The authorized official on file is Cathy Short, Credentialing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477732337 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Eagan Eye Clinic LLC |
| Practice address | 3930 CEDAR GROVE PKWY, Eagan, MN, 55122 |
| Phone | 6514545661 |
| Fax | 6514545669 |
| Enumeration date | 2007-10-29 |
| Last updated in NPPES | 2020-07-07 |
Authorized official
| Name | Cathy Short |
|---|---|
| Title | Credentialing Manager |
| Phone | 6184629818 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271775100 | Medicaid | MN | — |
Copy-ready billing details
Provider: Eagan Eye Clinic LLC NPI: 1477732337 Taxonomy: 152W00000X (Optometrist) Address: 3930 CEDAR GROVE PKWY, Eagan, MN, 55122
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1770588840 | Dennis Ottenstroer | Individual | Optometrist | Eagan, MN |
| 1265437792 | Benjamin Stout | Individual | Optometrist | Eagan, MN |
| 1174528608 | Erin Carlson | Individual | Optometrist | Eagan, MN |
| 1831506252 | Savage Eye Clinic | Organization | Optometrist | Eagan, MN |
Verify this record
Cross-check NPI 1477732337 against the authoritative CMS record: view Eagan Eye Clinic LLC 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 type of organization is Eagan Eye Clinic LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-07-07.