DR. BRAD HAGEMO
NPI 1366592511
Optometrist in Edina, MN

NPI Status: Active since January 11, 2007

Contact Information

1090 SOUTHDALE CTR
EDINA, MN
ZIP 55435
Phone: (952) 929-2442
Fax: (952) 927-0088

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  • Organization
  • Optometrist
  • Accepts Insurance

About DR. BRAD HAGEMO

This page provides the complete NPI Profile along with additional information for Dr. Brad Hagemo, a provider established in Edina, Minnesota operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1366592511 assigned on January 2007. The practitioner's primary taxonomy code is 152W00000X with license number 1981 (MN). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Dr. Brad Hagemo. The authorized official of this NPI record is Dr. Bradley Duane Hagemo O.d. (President)

NPI
1366592511
Provider Legal Name
VISION SERVICES INC.
Other Organization Name
DR. BRAD HAGEMO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1090 SOUTHDALE CTR EDINA, MN 55435
Location Phone
(952) 929-2442
Location Fax
(952) 927-0088
Mailing Address
620 LYMAN PL EXCELSIOR, MN 55331
Mailing Phone
(952) 457-9054
Mailing Fax
(952) 927-0088
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2007
Last Update Date
03-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
1981
License State
MN
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRADLEY DUANE HAGEMO O.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(952) 457-9054

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1981OTHER (01)MNSTATE LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366592511
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126109452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 0 + 9 + 4 + 5 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1366592511 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649442377DR. BRADLEY DUANE HAGEMO O.D.
Individual
Optometrist1090 SOUTHDALE CTR
EDINA, MN 55435
(952) 929-2442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366592511, enumerated in the NPI registry as an "organization" on January 11, 2007

The provider is located at 1090 Southdale Ctr Edina, Mn 55435 and the phone number is (952) 929-2442

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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