Raymond Alex Chartier, O.D.
Optometrist in Maple Grove, MN. Individual provider (NPI-1).
NPI number1134854706
StatusActive
Last updated in NPPESJun 22, 2026
Details
- NPI
- 1134854706
- Entity type
- Individual (NPI-1)
- Name
- Raymond Alex Chartier
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2022
- Certification date
- Jun 22, 2026
- Last updated
- Jun 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4027 | MN | Yes |
| 152W00000X | Optometrist | 18004346A | IN | |
| 152W00000X | Optometrist | 4901005731 | MI |
Practice location
13195 Weaver Lake RdMaple Grove, MN 55369-9410
Phone 763-420-5112 · Fax 763-420-6957
Mailing address
13195 Weaver Lake RdMaple Grove, MN 55369-9410
Phone 763-420-5112 · Fax 763-420-6957
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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