WEST METRO OPHTHALMOLOGY, PA (NPI# 1376684746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376684746 |
| Entity Type | Organization |
| Organization Name | WEST METRO OPHTHALMOLOGY, PA |
| Practice Address |
15655 37th Ave N Ste 200 Plymouth MN 55446 |
| Mailing Address |
2855 Campus Dr Ste 550 Plymouth MN 55441-2660 |
| Practice Telephone | 7635530288 |
| Practice Fax Number | 7635530891 |
| Mailing Telephone | 7635530288 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | STEVEN J GROSSER (PARTNER) |
| Authorized Official Telephone | 7635468422 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 875013100 | 05 | |
| MN | RAILROAD MEDICARE | CS8149 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760523518 | West Metro Ophthalmology, Pa | Ophthalmology | 504 Pine Street (hwy 25), Monticello, MN 55362-8304 | 2007-02-12 |
| 1952442790 | West Metro Ophthalmology, Pa | Ophthalmology | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2007-02-12 |
| Street Address |
15655 37TH AVE N STE 200 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| 1427156249 | Oceanview Management Inc | Dentist | 15910 46th Ave N, Plymouth, MN 55446 | 2006-09-20 |
| Find all providers in zip 55446 | ||||
| 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 |
|---|---|---|---|---|
| 1407879158 | Steven B Robin | Ophthalmology | 4100 Berkshire Ln N Ste 100, Plymouth, MN 55446-3836 | 2006-07-25 |
| 1659338770 | Associated Eye Surgeons | Ophthalmology | 45 Resnik Rd Ste 301, Plymouth, MA 02360-4882 | 2006-05-01 |
| 1053377143 | John Stewart Richards | Ophthalmology | 103 Boulder Point Drive, Plymouth, NH 03264-3156 | 2006-04-26 |
| 1194794958 | Daniel J O'connor | Ophthalmology | 146 Industrial Park Rd, Plymouth, MA 02360-7243 | 2006-03-15 |
| 1255839486 | Associated Eye Surgeons | Ophthalmology | 45 Resnik Rd Ste 301, Plymouth, MA 02360-4883 | 2018-01-23 |
| 1255722906 | Post, Oconnor & Kadrmas Eye Centers Dba Kadrmas Eye Care New England | Ophthalmology | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2015-02-16 |
| 1932330990 | David Carleton Reed | Ophthalmology | 146 Industrial Park Rd, Plymouth, MA 02360-7243 | 2009-08-06 |
| 1306012950 | Shazia Saman Ahmed | Ophthalmology | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2008-05-05 |
| 1134273832 | Eye Care Specialists, P.C. | Ophthalmology | 1 E Main St, Plymouth, PA 18651-3036 | 2007-01-22 |
| 1063579886 | Paul S Musco | Ophthalmology | 103 Boulder Point Drive, Plymouth, NH 03264-3168 | 2007-01-02 |
| Find all providers in PLYMOUTH | ||||
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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.