St Cloud Eye Clinic PA
St Cloud Eye Clinic PA is a healthcare organization registered as Ophthalmology Physician in Saint Cloud, MN, holding Type 2 (organization) NPI 1538157805 since 2005. The authorized official on file is Deforest Starkey, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1538157805 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | St Cloud Eye Clinic PA |
| Practice address | 2055 15TH ST N, Saint Cloud, MN, 56303 |
| Phone | 3202511432 |
| Fax | 3202517122 |
| Enumeration date | 2005-10-11 |
| Last updated in NPPES | 2013-01-28 |
Authorized official
| Name | Deforest Starkey |
|---|---|
| Title | Office Manager |
| Phone | 3202511432 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207W00000X | Ophthalmology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54575LA | Other | MN | BLUE CROSS |
| C01527 | Other | — | RAILROAD MEDICARE |
| 221523300 | Medicaid | MN | — |
Copy-ready billing details
Provider: St Cloud Eye Clinic PA NPI: 1538157805 Taxonomy: 207W00000X (Ophthalmology Physician) Address: 2055 15TH ST N, Saint Cloud, MN, 56303
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396733143 | Mitchell Harstad | Individual | Optometrist | Saint Cloud, MN |
| 1427046267 | St Cloud Opticians | Organization | Eyewear Supplier | Saint Cloud, MN |
| 1376531079 | Steven Rice | Individual | Ophthalmology Physician | Saint Cloud, MN |
| 1548258221 | Bradley Anderson | Individual | Ophthalmology Physician | Saint Cloud, MN |
| 1083602783 | Richard Lucius | Individual | Ophthalmology Physician | Saint Cloud, MN |
| 1467499293 | St Cloud Mn Ophthalmology Asc LLC | Organization | Ambulatory Surgical Clinic/Center | Saint Cloud, MN |
| 1356572804 | Derek Bonacci | Individual | Optometrist | Saint Cloud, MN |
| 1043650575 | Joel Nelson | Individual | Cornea and External Diseases Specialist Physician | Saint Cloud, MN |
Verify this record
Cross-check NPI 1538157805 against the authoritative CMS record: view St Cloud Eye Clinic PA 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 St Cloud Eye Clinic PA?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-01-28.