DR. BYRON K FLECK (NPI# 1275626731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275626731 |
| Entity Type | Individual |
| Full Name | DR. BYRON K FLECK |
| Credential | O.D. |
| Practice Address |
4740 Mall Drive Hermantown MN 55811 |
| Mailing Address |
8664 Evergreen Ln Cotton MN 55724-8109 |
| Practice Telephone | 2187271204 |
| Mailing Telephone | 2184823284 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2788-035 | WI | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2733 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | U-CARE | 128886 | 01 |
| WI | PREFERRED ONE | B25851028756 | 01 |
| MN | SPECTERA | 43076 | 01 |
| WI | MEDICA | 22-03395 | 01 |
| MN | PA BLUE CROSS BLUE SHIELD | 647819 | 01 |
| MN | AVESIS | 37832 | 01 |
| MN | PREFERRED ONE | B25861028756 | 01 |
| WI | BCBS PA | 647819 | 01 |
| MN | SPECTERA | 16525 | 01 |
| MN | MEDICA | 22-03394 | 01 |
| WI | AVESIS | 37024 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 53M11FL | 01 |
| Street Address |
4740 MALL DRIVE |
| City | HERMANTOWN |
| State | MN |
| Zip Code | 55811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265953608 | Fischer Laser Eye Center, LLC | Optometrist | 1380 E Bridge St Ste B, Redwood Falls, MN 56283-1904 | 2017-07-06 |
| 1851842660 | Fischer Laser Eye Center, LLC | Optometrist | 1805 Minnesota Ave, Suite 2, Benson, MN 56215-1778 | 2016-10-17 |
| 1467836650 | Pinecone Vision Center | Optometrist | 2180 Troop Drive, Sartell, MN 56377-4563 | 2015-07-17 |
| 1639292147 | Robert C. Dinga | Optometrist | 8344 3rd Street North, Oakdale, MN 55128 | 2007-04-09 |
| 1831290550 | Thomas Nelson Johnson | Optometrist | 2824 W Division St, Saint Cloud, MN 56301-3800 | 2006-09-26 |
| 1124033782 | Erin Troy Bremner | Optometrist | 38 E Harvey St, Ely, MN 55731-1240 | 2006-07-30 |
| 1154343176 | Sanford Clinic North | Optometrist | 20 W Centennial 84 Drive, New York Mills, MN 56567-0364 | 2006-07-25 |
| 1295784338 | Fischer Laser Eye Center, LLC | Optometrist | 115 Washburne Ave, Paynesville, MN 56362-1640 | 2006-05-08 |
| 1386693604 | Jeffrey L Fischer | Optometrist | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2006-05-06 |
| 1942258413 | Fischer Laser Eye Center, LLC | Optometrist | 1815 W Lincoln Ave, Olivia, MN 56277-1271 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
| City | HERMANTOWN |
| Zip Code | 55811 |
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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.