EDINA EYE PHYSICIANS AND SURGEONS PA (NPI# 1538264981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538264981 |
| Entity Type | Organization |
| Organization Name | EDINA EYE PHYSICIANS AND SURGEONS PA |
| Practice Address |
560 S Maple St Suite110 Waconia MN 55387-1763 |
| Mailing Address |
7450 France Ave S Suite 100 Edina MN 55435-4787 |
| Practice Telephone | 9524424445 |
| Practice Fax Number | 9528328148 |
| Mailing Telephone | 9528328100 |
| Mailing Fax Number | 9528328148 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | CHERYL MAYNE (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 9528328148 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 7314104 | MN | Eye and Vision Services Providers |
| Y | 207W00000X | Ophthalmology | 7314104 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710078738 | Edina Eye Physicians and Surgeons Pa | Optometrist | 209 Chalupsky Ave Se, New Prague, MN 56071-2448 | 2006-09-27 |
| 1740382274 | Edina Eye Physicians and Surgeons Pa | Optometrist | 4201 Dean Lakes Blvd, Suite 100, Shakopee, MN 55379-2829 | 2006-09-04 |
| 1972950814 | Edina Eye Physicians and Surgeons Pa | Ophthalmology | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2016-05-20 |
| 1114124971 | Edina Eye Physicians and Surgeons Pa | Clinic/Center | 11855 Ulysses St, Suite 140, Blaine, MN 55434 | 2007-06-27 |
| 1407903248 | Edina Eye Physicians and Surgeons Pa | Clinic/Center | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2007-01-04 |
| 1184715104 | Edina Eye Physicians and Surgeons Pa | Optometrist | 14050 Nicollet Ave, Suite 101, Burnsville, MN 55337-5710 | 2006-09-27 |
| 1629169644 | Edina Eye Physicians and Surgeons Pa | Optometrist | 111 Hundertmark Rd, Suite 105n, Chaska, MN 55318-4551 | 2006-09-27 |
| 1518058536 | Edina Eye Physicians and Surgeons Pa | Optometrist | 290 Main St Nw, Elk River, MN 55330-1270 | 2006-09-27 |
| 1427149442 | Edina Eye Physicians and Surgeons Pa | Optometrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-09-27 |
| 1477644490 | Edina Eye Physicians and Surgeons Pa | Ophthalmology | 7450 France Ave S, Suite 100, Edina, MN 55435-4787 | 2006-09-27 |
| Street Address |
560 S MAPLE ST SUITE110 |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379178 | Cheryl A Hansen | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2005-10-10 |
| 1790339497 | Dana Lee Cox | Occupational Therapist | 560 S Maple St, Waconia, MN 55387-1733 | 2019-07-31 |
| 1548828700 | Lindsay Marie Getten | Specialist/Technologist | 560 S Maple St, Waconia, MN 55387-1733 | 2019-06-03 |
| 1225422819 | Jeffrey Chrest | Specialist/Technologist | 560 S Maple St, Suite 210, Waconia, MN 55387-1733 | 2015-03-23 |
| 1346656089 | Shawn Johnson | Advanced Practice Midwife | 560 S Maple St, Suite 130, Waconia, MN 55387 | 2014-07-02 |
| 1376955971 | Matthew Ray Bennett | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-05-30 |
| 1043636145 | Meghan M Kolumbus | Specialist/Technologist | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-03-13 |
| 1043566003 | Laurie K. Grotzinger | Physician Assistant | 560 S Maple St, Suite 400, Waconia, MN 55387-1733 | 2012-07-27 |
| 1013277052 | Benjamin James Stasik | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2012-05-24 |
| 1922300979 | Jina M Burman | Physical Therapist | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| 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 |
|---|---|---|---|---|
| 1689753428 | Audrey A Fox | Ophthalmology | 424 W State Highway 5, Waconia, MN 55387-1723 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290486 | Eye Care Associates, Pa | Ophthalmology | 710 E 24th St Ste 101-201, Minneapolis, MN 55404-3840 | 2018-10-12 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1790228294 | Eye Associates of Central Minnesota Pa | Ophthalmology | 628 Roosevelt Rd, Suite 101, Saint Cloud, MN 56301-4867 | 2016-12-01 |
| 1093160491 | Christina Gillmor | Ophthalmology | 516 Delaware St Se Fl 9, Minneapolis, MN 55455-0356 | 2016-05-04 |
| 1861889776 | Michael Andrew Jordan | Ophthalmology | 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 | 2015-04-17 |
| 1467872390 | Luke Dolezal | Ophthalmology | 5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 | 2014-04-17 |
| 1811330939 | James Layer | Ophthalmology | 3708 Upton Ave S, Minneapolis, MN 55410-1237 | 2013-04-08 |
| 1093058158 | Hao Tang | Ophthalmology | 7760 France Ave S Ste 310, Edina, MN 55435 | 2013-03-27 |
| 1407112881 | Phillip Michael Armand Radke | Ophthalmology | 7450 France Ave S Ste 100, Edina, MN 55435-4799 | 2012-04-10 |
| 1023374964 | Sasha Strul | Ophthalmology | 701 25th Ave S Ste 300, Minneapolis, MN 55454-1443 | 2012-04-04 |
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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.