CORNEA AND CONTACT LENS INSTITUTE OF MINNESOTA (NPI# 1265733471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265733471 |
| Entity Type | Organization |
| Organization Name | CORNEA AND CONTACT LENS INSTITUTE OF MINNESOTA |
| Practice Address |
5137 Gus Young Ln Edina MN 55436-1530 |
| Mailing Address |
Po Box 1170 Maple Grove MN 55311-6170 |
| Practice Telephone | 9526416226 |
| Mailing Telephone | 7637462094 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | JASON JEDLICKA (OWNER) |
| Authorized Official Telephone | 9526416226 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 44481 | MN | Allopathic & Osteopathic Physicians |
| Y | 152W00000X | Optometrist | LD2631 | Eye and Vision Services Providers |
| Street Address |
5137 GUS YOUNG LN |
| City | EDINA |
| State | MN |
| Zip Code | 55436-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255326401 | Deanna E Harter | Optometrist | 5137 Gus Young Ln, Edina, MN 55436-1530 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| Find all providers in zip 55436 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194215582 | Joel Woods | Optometrist | 2915 Southdale Ctr, Edina, MN 55435-7041 | 2018-05-11 |
| 1396125837 | Zachary Robert Holland | Optometrist | 5201 Eden Ave Ste 150, Edina, MN 55436-2359 | 2015-05-29 |
| 1275887309 | Tamara Legg | Optometrist | 2195 Southdale Shopping Center, Edina, MN 55435 | 2012-10-26 |
| 1821243239 | Fifth Avenue of Edina Inc. | Optometrist | 3540 Galleria, Edina, MN 55435-4218 | 2008-11-26 |
| 1003091471 | Tamra L Larson | Optometrist | 3300 Edinborough Way Ste 412, Edina, MN 55435-5960 | 2008-01-04 |
| 1841332624 | The Lasik Vision Institute LLC | Optometrist | 3209 W 76th St, Ste300, Edina, MN 55435-5246 | 2007-02-12 |
| 1366592511 | Vision Services Inc. | Optometrist | 1090 Southdale Ctr, Edina, MN 55435-7050 | 2007-01-11 |
| 1679641914 | Stephen Reigstad | Optometrist | 1030 Southdale Ctr, Edina, MN 55435-7050 | 2006-12-04 |
| 1679580500 | Toni Leann Albrecht | Optometrist | 3380 Galleria, Invision, Edina, MN 55435 | 2006-08-02 |
| 1720032071 | Rodney Albert Binfet | Optometrist | 2195 Southdale Ctr, Edina, MN 55435-7065 | 2006-05-20 |
| Find all providers in EDINA | ||||
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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.