MR. JOHN PETER VORDERBRUGGEN (NPI# 1013187855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013187855 |
Entity Type | Individual |
Full Name | MR. JOHN PETER VORDERBRUGGEN |
Credential | OPTICIAN |
Practice Address |
901 N 23rd Ave W Duluth MN 55806-1244 |
Practice Telephone | 2187260078 |
Mailing Telephone | 2187260078 |
Enumeration Date | 2008-03-07 |
Last Update Date | 2008-03-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
2729202 | MN | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | ALLINA MEDICA | 2100074 | 01 |
Street Address |
901 N 23RD AVE W |
City | DULUTH |
State | MN |
Zip Code | 55806-1244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023339389 | Community Connection of Mn, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2701 W. Superior St., Suite 101, Duluth, MN 55806 | 2010-06-21 |
1902998875 | Stephen Thomas Hero | Dentist | 2016 W Superior Street, Duluth, MN 55806 | 2006-09-29 |
1851906697 | Tadd William Berg | Specialist/Technologist | 2415 W 9th St, Duluth, MN 55806-1150 | 2020-09-09 |
1144787375 | Andrew Eric Norris | Specialist/Technologist | 2316 W 9th St Apt 1, Duluth, MN 55806-1229 | 2019-02-24 |
1891017638 | Jesse Dykhuis | Doula | 3304 Vernon St, Duluth, MN 55806-1327 | 2010-02-21 |
1619063039 | Andrew John Vasil | General Practice | 623 Pacific Ave, Duluth, MN 55806-1336 | 2006-10-04 |
1952688871 | Megan Rock | Dental Hygienist | 2720 W 7th St, Duluth, MN 55806-1345 | 2011-11-06 |
1265778005 | Jeremy Lee Walton | Occupational Therapist | 514 Winnipeg Ave, Duluth, MN 55806-1449 | 2012-12-26 |
1790147049 | Kathleen Ann Miller | Occupational Therapy Assistant | 2963 Exeter St, Duluth, MN 55806-1450 | 2016-03-25 |
1831719459 | Jennifer Anne Senn | Student in an Organized Health Care Education/Training Program | 2213 W 6th St, Duluth, MN 55806-1513 | 2020-04-23 |
Find all providers in zip 55806 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215258157 | National Vision, Inc. | Technician/Technologist | 2435 Commerce Ave, Bldg 2200, Duluth, GA 30096-4980 | 2010-06-15 |
1679624621 | Visual Edge, Inc | Technician/Technologist | 1405 Miller Trunk Hwy, Duluth, MN 55811 | 2007-01-16 |
1891784062 | North Land Optical Co | Technician/Technologist | 600 E Superior St, Ste 111, Duluth, MN 55802-2222 | 2005-10-19 |
1720509136 | Donald L Quada | Technician/Technologist | 2106 London Rd, Duluth, MN 55812-2127 | 2017-07-06 |
1881007797 | Choon K. Kim | Technician/Technologist | 3751 Satellite Blvd, #200, Duluth, GA 30096-8840 | 2014-06-09 |
1013214287 | Jae Lee | Technician/Technologist | 1630 Pleasant Hill Rd, #b11, Duluth, GA 30096 | 2011-02-23 |
1750549259 | Eric William Scofield | Technician/Technologist | 324 W Superior St, Duluth, MN 55802-1701 | 2008-05-30 |
1811088180 | Sam's Club Optical | Technician/Technologist | 3450 Steve Reynolds Blvd, Duluth, GA 30096-4510 | 2006-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821558370 | National Vision Inc | Technician/Technologist | 8348 Highway 7, Saint Louis Park, MN 55426-3907 | 2019-03-21 |
1861937112 | Personality Eyewear | Technician/Technologist | 8257 Logan Ave N, Brooklyn Park, MN 55444-1545 | 2016-12-22 |
1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
1215316682 | National Vision, Inc. | Technician/Technologist | 12940 Riverdale Dr Nw, Ste 300, Coon Rapids, MN 55448-8412 | 2015-05-19 |
1619354156 | National Vision, Inc. | Technician/Technologist | 1727 Beam Ave, Ste D, Maplewood, MN 55109-1164 | 2015-05-05 |
1124437223 | America's Best Contacts & Eyeglasses | Technician/Technologist | 6096 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2316 | 2014-08-04 |
1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
1851712384 | Marshall Allan Daly | Technician/Technologist | 2484 University Ave W, Saint Paul, MN 55114-1735 | 2013-12-31 |
1174966683 | David Yang | Technician/Technologist | 987 Oday St S, Maplewood, MN 55119-5953 | 2013-04-15 |
1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.