Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minnesota Eye Consultants, PA

Organization Ophthalmology Physician · NPI 1104146265

Minnesota Eye Consultants, PA is an Ophthalmology Physician in Blaine, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11091 Ulysses St NE Ste 300
Blaine, MN 55434-4237
Phone: (952) 888-5800
Fax: (763) 421-8297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 31920 (MN)
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1104146265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Wilde — President · (952) 567-6143
NPI enumeratedJune 10, 2010
Last updated in NPPESFebruary 22, 2017
Mailing address9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100

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