MINNESOTA EYE CONSULTANTS, PA (NPI# 1174596399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174596399 |
| Entity Type | Organization |
| Organization Name | MINNESOTA EYE CONSULTANTS, PA |
| Other Organization Name | PARK OPTICAL |
| Practice Address |
710 E 24th St Suite 103 Minneapolis MN 55404-3840 |
| Mailing Address |
9801 Dupont Ave S Suite 425 Minneapolis MN 55431-3100 |
| Practice Telephone | 9525676092 |
| Practice Fax Number | 9525676176 |
| Mailing Telephone | 9525676092 |
| Mailing Fax Number | 9525676176 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CANDACE SIMERSON (PRESIDENT) |
| Authorized Official Telephone | 9525676100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| X | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| X | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | DMERC | 1250440012 | 01 |
| Other Name | Type Code |
|---|---|
| Park Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932173374 | Minnesota Eye Consultants, Pa | Optometrist | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-5509 | 2006-02-14 |
| 1861465064 | Minnesota Eye Consultants, Pa | Optometrist | 1965 11th Ave E, Suite 102, Maplewood, MN 55109-5167 | 2006-02-08 |
| 1326019829 | Minnesota Eye Consultants, Pa | Eyewear Supplier (Equipment, not the service) | 9801 Dupont Ave South, Suite 200, Bloomington, MN 55431-3180 | 2006-02-01 |
| 1467815357 | Minnesota Eye Consultants, Pa | Optometrist | 1347 Larpenteur Ave W, Falcon Heights, MN 55113-6302 | 2016-03-30 |
| 1104146265 | Minnesota Eye Consultants, Pa | Clinical Medical Laboratory | 11091 Ulysses St Ne, Suite 300, Blaine, MN 55434-4237 | 2010-06-10 |
| 1952452674 | Minnesota Eye Consultants, Pa | Optometrist | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2007-01-16 |
| 1205930542 | Minnesota Eye Consultants, Pa | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2006-09-08 |
| 1508839879 | Minnesota Eye Consultants, Pa | Optometrist | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2006-02-08 |
| 1477526747 | Minnesota Eye Consultants, Pa | Optometrist | 710 E 24th St, Suite 100, Minneapolis, MN 55404-3840 | 2006-02-08 |
| Street Address |
710 E 24TH ST SUITE 103 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185661 | Marilee Ann Hanson | Specialist | 710 E 24th St, Ste 403, Minneapolis, MN 55404-3827 | 2005-06-24 |
| 1376973958 | Kaitlin Wha Ran Anderson | Advanced Practice Midwife | 710 E 24th St, Suite 403, Minneapolis, MN 55404-3840 | 2013-11-19 |
| 1699939496 | Michelle Sudyka Loichinger | Ophthalmology | 710 E 24th St, Suite 402, Minneapolis, MN 55404-3840 | 2008-07-11 |
| 1407047566 | Mona M Fahmy | Optometrist | 710 E 24th St, Suite 100, Minneapolis, MN 55404-3840 | 2007-08-05 |
| 1538254289 | Endocrine & Diabetes Associates, P.a. | Internal Medicine | 710 E 24th St, Suite 405, Minneapolis, MN 55404-3840 | 2006-10-04 |
| 1568574697 | Jeffrey Victor Christensen | Ophthalmology | 710 E 24th St, Suite 402, Minneapolis, MN 55404-3840 | 2006-08-31 |
| 1619088739 | William Pringle Rodman | Ophthalmology | 710 E 24th St, Suite 402, Minneapolis, MN 55404-3840 | 2006-08-31 |
| 1750498465 | Minneapolis Medical Eye Clinic, P.a. | Ophthalmology | 710 E 24th St, Suite 402, Minneapolis, MN 55404-3840 | 2006-08-25 |
| 1689604316 | Retina Center Pa | Ophthalmology | 710 E 24th St, Suite 304, Minneapolis, MN 55404-3846 | 2006-07-05 |
| 1912934597 | Amanda Rene Stoltman | Optometrist | 710 E 24th St, Minneapolis, MN 55404-3840 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290486 | Eye Care Associates, Pa | Ophthalmology | 710 E 24th St Ste 101-201, Minneapolis, MN 55404-3840 | 2018-10-12 |
| 1093160491 | Christina Gillmor | Ophthalmology | 516 Delaware St Se Fl 9, Minneapolis, MN 55455-0356 | 2016-05-04 |
| 1861889776 | Michael Andrew Jordan | Ophthalmology | 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 | 2015-04-17 |
| 1811330939 | James Layer | Ophthalmology | 3708 Upton Ave S, Minneapolis, MN 55410-1237 | 2013-04-08 |
| 1023374964 | Sasha Strul | Ophthalmology | 701 25th Ave S Ste 300, Minneapolis, MN 55454-1443 | 2012-04-04 |
| 1124310735 | Karen Rose Armbrust | Ophthalmology | 1 Veterans Dr # 2e, Minneapolis, MN 55417-2309 | 2011-05-15 |
| 1679875280 | Irving Shapiro | Ophthalmology | 21 Greenway Gables, Minneapolis, MN 55403-2145 | 2010-12-02 |
| 1841425899 | Claris Eye Care & Surgery, P.a. | Ophthalmology | 710 E 24th St Ste 102, Minneapolis, MN 55404-3810 | 2009-05-20 |
| 1174799357 | Alejandra Decanini Mancera | Ophthalmology | 701 Park Avenue, P7, Suite 200, Minneapolis, MN 55415 | 2008-05-07 |
| 1972699635 | Fredericus J. Van Kuijk | Ophthalmology | 420 Delaware Street Se / Mmc493, 9th Floor Pwb, Minneapolis, MN 55455 | 2006-10-04 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on MINNESOTA EYE CONSULTANTS, PA.
| 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.