Rian James Cleary, O.D.
Optometrist in Lakeville, MN. Individual provider (NPI-1).
NPI number1497192553
StatusActive
Last updated in NPPESMar 13, 2025
Details
- NPI
- 1497192553
- Entity type
- Individual (NPI-1)
- Name
- Rian James Cleary
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2013
- Certification date
- Mar 13, 2025
- Last updated
- Mar 13, 2025
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 | 3332 | MN | Yes |
Practice location
16105 Cedar AveLakeville, MN 55044-7213
Phone 952-985-6467 · Fax 952-985-6468
Mailing address
16105 Cedar AveLakeville, MN 55044-7213
Phone 952-985-6467 · Fax 952-985-6468
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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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