DON SEALOCK, O.D., P.A. (NPI# 1538624341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538624341 |
| Entity Type | Organization |
| Organization Name | DON SEALOCK, O.D., P.A. |
| Practice Address |
9825 Hospital Dr # 106 Maple Grove MN 55369-4479 |
| Mailing Address |
4455 Highway 169 N Plymouth MN 55442-2897 |
| Practice Telephone | 7635687177 |
| Practice Fax Number | 7635687361 |
| Mailing Telephone | 7635597358 |
| Mailing Fax Number | 7635596010 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | JENNIE J SEALOCK (SECR/TREAS) |
| Authorized Official Telephone | 7635597358 |
| Is Organization Subpart | Y |
| Parent Organization Name | DON SEALOCK, O.D., P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Four Seasons Eyecare - Maple Grove | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831651165 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 3366 Oakdale Ave N Ste 140, Robbinsdale, MN 55422-2961 | 2019-04-04 |
| 1720537277 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 216 Lewis Ave S, Watertown, MN 55388-4625 | 2016-09-26 |
| 1861941312 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 2169 Commerce Blvd, Mound, MN 55364-1570 | 2016-09-26 |
| 1205385754 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 405 Babcock Blvd E, Delano, MN 55328-9143 | 2016-09-26 |
| 1407305956 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 7966 Brooklyn Blvd, Brooklyn Park, MN 55445-2722 | 2016-09-26 |
| 1700335247 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 15450 Highway 7 # 100, Minnetonka, MN 55345-3522 | 2016-09-26 |
| 1295284735 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 94 14th St Ne, Ste 2, Buffalo, MN 55313-1932 | 2016-09-26 |
| 1548719081 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 400 Central Ave E, Saint Michael, MN 55376-9525 | 2016-09-26 |
| 1497785620 | Don Sealock, O.d., P.a. | Optometrist | 4455 Highway 169 N, Plymouth, MN 55442-2897 | 2006-07-04 |
| Street Address |
9825 HOSPITAL DR # 106 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| 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 |
|---|---|---|---|---|
| 1174608657 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 8081 Wedgewood Lane North, Maple Grove, MN 55369 | 2006-10-25 |
| 1063803807 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 11330 Fountains Dr, Maple Grove, MN 55369-7200 | 2015-02-16 |
| 1962789750 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 8081 Wedgewood Ln N, Maple Grove, MN 55369-9412 | 2011-11-08 |
| 1639365869 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2007-09-21 |
| 1457406290 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 12131 Elm Creek Blvd N, Maple Grove, MN 55369-7093 | 2007-01-24 |
| 1548222953 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1891351268 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1101 E College Dr, Marshall, MN 56258-2366 | 2019-05-11 |
| 1730745100 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1459 W Service Dr, Winona, MN 55987-2512 | 2019-05-11 |
| 1649836016 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1023 E Blue Earth Ave, Fairmont, MN 56031-4076 | 2019-05-11 |
| 1124684592 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1004 18th Ave Nw Ste D, Austin, MN 55912-1993 | 2019-05-11 |
| 1053977421 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 | 2019-05-11 |
| 1942866371 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 4051 W Division St Ste A, Saint Cloud, MN 56301-3741 | 2019-05-10 |
| 1831651165 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 3366 Oakdale Ave N Ste 140, Robbinsdale, MN 55422-2961 | 2019-04-04 |
| 1992281448 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 113 Washington Ave N Ste 100, Minneapolis, MN 55401-1926 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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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.