STANTON L ANDRIST (NPI# 1336133586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336133586 |
| Entity Type | Individual |
| Full Name | STANTON L ANDRIST |
| Credential | OD |
| Practice Address |
420 Center Ave Suite 41 Moorhead MN 56560-1957 |
| Practice Telephone | 2182331624 |
| Practice Fax Number | 2182332058 |
| Mailing Telephone | 2182331624 |
| Mailing Fax Number | 2182332058 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2021 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RR MEDICARE | P01065711 | 01 |
| ND | 60344 | 05 | |
| MN | 947723300 | 05 | |
| MN | BCBS PIN | 61000AN | 01 |
| Street Address |
420 CENTER AVE SUITE 41 |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608228 | Thomas N Lorentzsen | Optometrist | 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | 2005-09-02 |
| 1164794780 | Stanton L Andrist & Casey C Bartz | Optometrist | 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | 2012-01-27 |
| 1447480520 | Casey Clay Bartz | Optometrist | 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | 2009-07-22 |
| 1659506186 | Karla M Lund | Dietitian, Registered | 420 Center Ave, Moorhead, MN 56560-1957 | 2009-05-28 |
| 1962687111 | Violet M. Deilke | Durable Medical Equipment & Medical Supplies | 420 Center Ave, Suite #14, Moorhead, MN 56560-1957 | 2008-01-07 |
| 1760675755 | Seip Drug LLC | Pharmacy | 420 Center Ave, Ste 12, Moorhead, MN 56560-1957 | 2007-08-22 |
| 1376661165 | Wanda Yvonne Foley | Pharmacist | 420 Center Ave, Suite 12, Moorhead, MN 56560 | 2007-03-27 |
| 1396877221 | Dale R Whitehead | Pharmacist | 420 Center Ave, Moorhead Drug Co, Moorhead, MN 56560 | 2007-03-09 |
| 1922169168 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 420 Center Ave, Moorhead Center Mall, Moorhead, MN 56560-1957 | 2006-12-12 |
| 1841361383 | Jimpat Inc | Pharmacist | 420 Center Ave, Suite 12, Moorhead, MN 56560-1957 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| 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 |
|---|---|---|---|---|
| 1952371130 | Brandt Opticare Inc | Optometrist | 725 Center Ave, Suite # 2, Moorhead, MN 56560-1961 | 2006-01-23 |
| 1083608228 | Thomas N Lorentzsen | Optometrist | 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | 2005-09-02 |
| 1639611791 | Picken Welder Optometry, P.C. | Optometrist | 725 Center Ave, Ste 2, Moorhead, MN 56560-1958 | 2016-11-07 |
| 1164794780 | Stanton L Andrist & Casey C Bartz | Optometrist | 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | 2012-01-27 |
| 1447480520 | Casey Clay Bartz | Optometrist | 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | 2009-07-22 |
| 1851514269 | Ronald D Brandt | Optometrist | 725 Center Ave, Suite 2, Moorhead, MN 56560-1958 | 2007-04-11 |
| 1336235449 | Thomas N Lorentzsen & Stanton L Andrist Ptr | Optometrist | 420 Center Ave, Suite 41, Moorhead, MN 56560 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615069 | Eagan Eye Clinic LLC | Optometrist | 12390 Sherburne Ave, Becker, MN 55308-9147 | 2020-10-02 |
| 1750998100 | Infinity Eye Care | Optometrist | 1275 Ramsey St Ste 700, Shakopee, MN 55379-3131 | 2020-09-29 |
| 1831700798 | Muychi Timothy Vang | Optometrist | 11217 Commerce Dr N, Champlin, MN 55316-3122 | 2020-08-13 |
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1699399592 | Nicole Rene Schmiedt | Optometrist | 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 | 2020-06-05 |
| 1700409885 | Russell N Osnes Od & Associates Pa | Optometrist | 1340 Duckwood Dr Ste 14, Eagan, MN 55123-2324 | 2020-05-22 |
| 1225657067 | Viginia Ho | Optometrist | 680 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-04-12 |
| 1992331359 | Megan Kaye Horter | Optometrist | 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 | 2020-03-18 |
| 1639704232 | Barton Eye Care LLC | Optometrist | 2306 S Broadway St Ste 12, Alexandria, MN 56308-1883 | 2020-03-04 |
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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.