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

Benjamin Michalicek, OD

Individual provider Optometrist · NPI 1396323176

Benjamin Michalicek, OD is an Optometry in Saint Paul, Minnesota. Graduated from Illinois College of Optometry at Chicago in 2021, 5 years ago. Practices with Lauren K Haverly LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
5
Trained at
Illinois College of Optometry at Chicago
Licensed in
MN, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

272 Snelling Ave S Ste 300
Saint Paul, MN 55105-2829
Phone: (651) 369-7833
Fax: (651) 560-5732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3802 (MN)
Optometrist Taxonomy 152W00000X · Licence 3969 (WI)

Record details

NPI number1396323176
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address272 Snelling Ave S Ste 300, Saint Paul, MN 55105-2829

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2021 (5 years in practice)
Group practice Lauren K Haverly Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Paul