MINNESOTA EYE CONSULTANTS, PA (NPI# 1326019829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326019829 |
| Entity Type | Organization |
| Organization Name | MINNESOTA EYE CONSULTANTS, PA |
| Practice Address |
9801 Dupont Ave South Suite 200 Bloomington MN 55431-3180 |
| Mailing Address |
9801 Dupont Ave South Suite 425 Bloomington MN 55431-3873 |
| Practice Telephone | 9528885800 |
| Practice Fax Number | 9525676156 |
| Mailing Telephone | 9528885800 |
| Mailing Fax Number | 9525676156 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | BRENT LEE WILDE (PRESIDENT/COO) |
| Authorized Official Telephone | 9525676043 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1751 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 334216601 | 05 | |
| MN | BCBS GROUP OPTICAL | 59Q32MI | 01 |
| 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 |
| 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 |
| 1174596399 | Minnesota Eye Consultants, Pa | Ophthalmology | 710 E 24th St, Suite 103, Minneapolis, MN 55404-3840 | 2006-02-08 |
| 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 |
9801 DUPONT AVE SOUTH SUITE 200 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-3180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| 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 |
|---|---|---|---|---|
| 1992233738 | Dr Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 2894 E 3rd St Ste 155, Bloomington, IN 47401-5423 | 2017-05-24 |
| 1881882504 | Eyecare Associates, LLP | Eyewear Supplier (Equipment, not the service) | 2103 E Washington St Ste 1d, Bloomington, IL 61701-4365 | 2007-10-09 |
| 1225184070 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Garden, Bloomington, MN 55425-5519 | 2007-01-26 |
| 1013062637 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2852 E 3rd St, College Mall Ste #l07, Bloomington, IN 47401-5423 | 2007-01-24 |
| 1699824995 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2000 Ne Courte, Mall of America, Bloomington, MN 55425-5506 | 2007-01-09 |
| 1801950027 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1615 E Empire St, Eastland Mall, Bloomington, IL 61701-3581 | 2006-12-21 |
| 1972603926 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3024 E 3rd St, College Mall Ste #l05c, Bloomington, IN 47401-5425 | 2006-09-22 |
| 1871044685 | Hw Holdings | Eyewear Supplier (Equipment, not the service) | 101 N Veterans Pkwy, Bloomington, IL 61704-3596 | 2016-10-17 |
| 1124357355 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 3024 E 3rd St, College Mall Ste #l05c, Bloomington, IN 47401-5425 | 2009-12-17 |
| 1083804538 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 385 W Market, Mall of America, Bloomington, MN 55425-5523 | 2007-07-31 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
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.