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

Dr. Derek Allen Moline, OD

Individual provider Optometrist · NPI 1588630925

Dr. Derek Allen Moline, OD is an Optometry in Arden Hills, Minnesota. Graduated from Illinois College of Optometry at Chicago in 2000, 26 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
26
Trained at
Illinois College of Optometry at Chicago
Licensed in
MN
In the registry since
2006
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

1210 County Rd E
Arden Hills, MN 55112-3783
Phone: (651) 523-8400
Show map & directions

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

Additional practice locations (1)

  • 1835 County Road C W, Roseville, MN 55113-1352 — (651) 638-1555

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2783 (MN)

Record details

NPI number1588630925
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 26, 2006
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2000 (26 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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