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

Mr. Cody Michael Benedict, OD

Individual provider Optometrist · NPI 1376146373

Mr. Cody Michael Benedict, OD is an Optometry in Pine City, Minnesota. Qualified in 2020, 6 years ago. Practices with Eagan Eye Clinic LLC, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
6
Licensed in
MN, WI
In the registry since
2020
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

110 Evergreen Sq SW
Pine City, MN 55063-2000
Phone: (320) 629-7262
Show map & directions

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

Additional practice locations (1)

  • 8251 Flying Cloud Dr, Eden Prairie, MN 55344-5350 — (952) 829-7812

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3756 (MN)
Optometrist Taxonomy 152W00000X · Licence 3652-35 (WI)

Record details

NPI number1376146373
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 20, 2020
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address603 Oak St W Unit 1, Frederic, WI 54837-8902

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Eagan Eye Clinic Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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