Pine River Eye Center, Inc.
Pine River Eye Center, Inc. is a healthcare organization registered as Eyewear Supplier in Baxter, MN, holding Type 2 (organization) NPI 1508165572 since 2011. The authorized official on file is Michael Marvin, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1508165572 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pine River Eye Center, Inc. |
| Other name | <Unavail> |
| Parent organization | Pine River Eye Center, Inc. |
| Practice address | 14453 EDGEWOOD DR, Baxter, MN, 56425 |
| Phone | 2188291789 |
| Fax | 2188291780 |
| Enumeration date | 2011-03-16 |
| Last updated in NPPES | 2011-03-16 |
Authorized official
| Name | Michael Marvin |
|---|---|
| Title | Ceo |
| Phone | 2185872020 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197023200 | Medicaid | MN | — |
| 0579750001 | Other | MN | DMERC PTAN |
Copy-ready billing details
Provider: Pine River Eye Center, Inc. NPI: 1508165572 Taxonomy: 332H00000X (Eyewear Supplier) Address: 14453 EDGEWOOD DR, Baxter, MN, 56425
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205801032 | David Pelowski | Individual | Optometrist | Baxter, MN |
| 1477862555 | Daniel Clayton | Individual | Optometrist | Baxter, MN |
| 1861066920 | Associates in Eyecare | Organization | Optometrist | Baxter, MN |
Verify this record
Cross-check NPI 1508165572 against the authoritative CMS record: view Pine River Eye Center, Inc. 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
Where is Pine River Eye Center, Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-03-16.