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Active NPI 1063571305 Individual Practitioner Male Practitioner

Dr. Bennett W Nelson , OD

Optometrist • Waite Park, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bennett Nelson, OD is a certified Optometrist practicing in Waite Park, MN. With approximately 35 years of clinical experience since graduating from Indiana University - School Of Optometry in 1991, Dr. Nelson delivers high-quality medical care to the local community at 206 DIVISION ST.

Dr. Nelson is affiliated with Eagan Eye Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

206 Division St

Waite Park, MN 563871331

Telephone 3202530365
Fax 3202539401
Associated Practice Facility / Clinic
🏢 Eagan Eye Clinic Llc Facility NPI 1760089700

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Waite Park, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +10.7 yrs vs City Avg
City Avg: 24.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Waite Park, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (35 Years) 35 Yrs
Waite Park Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
191 191 $165.16 $124.55
92134 Imaging of retina
126 114 $100.00 $39.59
99213 Established patient office or other outpatient visit, typically 15 minutes
77 69 $120.00 $88.07
92083 Exam of visual field with extended testing
46 42 $120.00 $62.84
92133 Imaging of optic nerve
40 39 $100.00 $32.80

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 3091

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Health Partners
HP82012
Commercial Insurance / Payer ID Preferred One
XX0531051795 (MN)
Commercial Insurance / Payer ID Blue Cross
453K2NE (MN)

Hospital & Practice Group Affiliations

Eagan Eye Clinic Llc

204 Washburne Ave, Paynesville, MN 563621643

Phone: 3202046400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1073575098

Doctor of Optometry

Burt Dubow

Optometrist

NPI 1407844822
NPI 1518955939
NPI 1578607958

Doctor of Optometry

NPI 1780245696

Doctor of Optometry

NPI 1962737049

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2007

Registered at 206 DIVISION ST, WAITE PARK, MN 563871331 (Tel: 3202530365)

📍
Updated Business Mailing Address November 30, 2007

Registered at 206 DIVISION ST, WAITE PARK, MN 563871331 (Tel: 3202530365)

👤
Provider Name / Credentials Updated November 30, 2007

Recorded as BENNETT NELSON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2007

Optometrist (License #3091 in MN)

🟢
Initial NPI Registration & Enumeration December 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063571305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2006
Last Update: November 30, 2007
Sole Proprietor: No

Mailing Address

206 Division St

Waite Park, MN 563871331

Phone: 3202530365

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.