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Minnesota Eye Consultants, PA

Ophthalmology Physician in Maplewood, MN · enumerated 2006 · authorized official Brent Wilde, President.

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

National Provider Identifier

1861465064

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Registry record

Entity type Organization (Type 2)
Legal business name Minnesota Eye Consultants, PA
Practice address 1965 11th Ave E, Suite 102, Maplewood, MN, 55109
Fax (651) 748-4445
Enumeration date Feb 8, 2006
Last updated in NPPES Feb 22, 2017

Taxonomy & classification

152WC0802X Corneal and Contact Management Optometrist Eye and Vision Services Providers Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Primary
291U00000X Clinical Medical Laboratory Laboratories · License 24D2023181 (MN) Secondary
332H00000X Eyewear Supplier Suppliers Secondary

Authorized official

Name Brent Wilde
Title President

Other identifiers

Identifier Type State Issuer
24D2023181 Other MN CLIA
680090400 Medicaid MN -
CG8516 Other MN RR MEDICARE GROUP NUMBER

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 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.
What type of organization is Minnesota Eye Consultants, PA?
Minnesota Eye Consultants, PA is registered in NPPES as a Ophthalmology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-22.