DR. MARK V WEDUL (NPI# 1346294295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346294295 |
| Entity Type | Individual |
| Full Name | DR. MARK V WEDUL |
| Credential | MD |
| Practice Address |
1570 Concordia Ave Ste 202 Lexington Eye Associates Pa Saint Paul MN 55104-5345 |
| Practice Telephone | 6516467419 |
| Practice Fax Number | 6516467419 |
| Mailing Telephone | 6516467419 |
| Mailing Fax Number | 6516372778 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2015-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 29010 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 664275600 | 05 |
| Street Address |
1570 CONCORDIA AVE STE 202 LEXINGTON EYE ASSOCIATES PA |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851409395 | Diane Sione Tanabe | Ophthalmology | 280 Smith Ave N Ste 400, Lufkin Eye Clinic, Pa, Saint Paul, MN 55102-2473 | 2006-08-25 |
| 1124133764 | John C Foley | Ophthalmology | 1570 Concordia Ave, Suite 201, Saint Paul, MN 55104-4548 | 2006-08-21 |
| 1992743488 | Richard L Manka | Ophthalmology | 401 Phalen Blvd # Ms 41102e, Saint Paul, MN 55130 | 2006-06-04 |
| 1538134614 | David J Eilers | Ophthalmology | 2221 Ford Pkwy, #210, Saint Paul, MN 55116-1800 | 2006-02-22 |
| 1972950814 | Edina Eye Physicians and Surgeons Pa | Ophthalmology | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2016-05-20 |
| 1558604926 | John Charles Zeyer | Ophthalmology | 401 Phalen Blvd, Saint Paul, MN 55130 | 2013-04-03 |
| 1225324981 | Proeyecare Associates Pa | Ophthalmology | 1570 Concordia Ave, Suite 202, Saint Paul, MN 55104-5338 | 2011-06-21 |
| 1679787055 | Charles Chang Hee Kim | Ophthalmology | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2007-05-09 |
| 1962525501 | John T Knapp | Ophthalmology | 2500 Como Ave, Saint Paul, MN 55108 | 2007-04-09 |
| 1790836633 | Gene W Chen | Ophthalmology | 2500 Como Ave, Saint Paul, MN 55108 | 2007-01-16 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.