ST PAUL EYE CLINIC PA (NPI# 1306948153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306948153 |
| Entity Type | Organization |
| Organization Name | ST PAUL EYE CLINIC PA |
| Practice Address |
2680 Snelling Ave N Suite 110 Roseville MN 55113-1821 |
| Mailing Address |
2080 Woodwinds Dr Suite 110 Woodbury MN 55125-2523 |
| Practice Telephone | 6516312969 |
| Practice Fax Number | 6516310355 |
| Mailing Telephone | 6517386800 |
| Mailing Fax Number | 6517146997 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2012-06-15 |
| Authorized Official Name | DR. THOMAS J RICE (PRESIDENT) |
| Authorized Official Telephone | 6517386800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629170469 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 1093 Grand Ave, Saint Paul, MN 55105-3002 | 2006-09-02 |
| 1508968355 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 3440 Oleary Ln, Eagan, MN 55123-2340 | 2006-09-02 |
| 1326140161 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 200 Thompson Ave E, Saint Paul, MN 55118-3219 | 2006-09-02 |
| 1720173651 | St Paul Eye Clinic Pa | Clinic/Center | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2006-10-04 |
| 1437251287 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 1675 Beam Ave, Ste 100, Maplewood, MN 55109 | 2006-09-02 |
| 1669574646 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2524 | 2006-09-01 |
| Street Address |
2680 SNELLING AVE N SUITE 110 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376504217 | Krista Ann Skorupa | Family Medicine | 2680 Snelling Ave N, Ste 200, Roseville, MN 55113-1876 | 2006-03-30 |
| 1396385175 | Bosch Dental Pllc | Clinic/Center | 2680 Snelling Ave N, Roseville, MN 55113-1876 | 2020-01-09 |
| 1679901979 | St. Paul Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 2680 Snelling Ave N, Suite 110, Roseville, MN 55113-1876 | 2013-10-23 |
| 1871930503 | Joseph Anthony Molinaro | Audiologist | 2680 Snelling Ave N, #265, Roseville, MN 55113-1876 | 2013-06-04 |
| 1033419965 | Joseph A Molinaro | Hearing Instrument Specialist | 2680 Snelling Ave N, 265, Roseville, MN 55113-1876 | 2010-10-26 |
| 1053620187 | Healtheast Medical Research Institute | Family Medicine | 2680 Snelling Ave N, Suite 200, Roseville, MN 55113-1876 | 2010-10-07 |
| 1407041148 | David Joseph Delaney Elsner | Family Medicine | 2680 Snelling Ave N, Suite 200, Roseville, MN 55113-1876 | 2007-09-06 |
| 1114083235 | Foung Lo | Family Medicine | 2680 Snelling Ave N, Suite 200, Roseville, MN 55113-1876 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841675675 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 32443 Gratiot Ave Ste 490, Roseville, MI 48066-1154 | 2015-07-22 |
| 1366729055 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 501 Rosedale Ctr, Roseville, MN 55113-3004 | 2011-11-08 |
| 1396881587 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 32453 Gratiot, Macomb Mall Ste #530, Roseville, MI 48066-1154 | 2007-01-29 |
| 1215082698 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1151 Galleria Blvd Ste 175, Roseville, CA 95678 | 2007-01-24 |
| 1629121090 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1515 W County Rd, Roseville, MN 55113 | 2007-01-19 |
| 1942365242 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 32142 Beaconsfield St, Macomb Mall, Roseville, MI 48066-1178 | 2006-12-27 |
| 1114088879 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2480 Fairview Ave N Ste 10, Roseville, MN 55113 | 2006-12-13 |
| 1487731576 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 503 Rosedale Shopping Ctr, Roseville, MN 55113-3004 | 2006-11-01 |
| 1235140450 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1125 Galleria Blvd Galleria Mall, Roseville, CA 95678 | 2006-08-11 |
| 1023030103 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 1700 W. County Rd B-2, Roseville, MN 55113 | 2006-07-24 |
| Find all providers in ROSEVILLE | ||||
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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.