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

Timothy Nelson, OD

Individual provider Optometrist · NPI 1215091616

Timothy Nelson, OD is an Optometry in Maple Grove, Minnesota. Graduated from Pacific University - College of Optometry in 2001, 25 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
25
Trained at
Pacific University - College of Optometry
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

11330 Fountains Dr
Maple Grove, MN 55369
Phone: (763) 494-8063
Fax: (763) 494-8062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Western Ave Nw, Faribault, MN 55021-4510 — (507) 334-7941

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2827 (MN)

Record details

NPI number1215091616
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESDecember 11, 2018
Mailing address720 N 4th St Unit 704, Minneapolis, MN 55401-1950

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maple Grove