DR. ANDREW JAMES MACKNER (NPI# 1639646664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639646664 |
| Entity Type | Individual |
| Full Name | DR. ANDREW JAMES MACKNER |
| Credential | OD |
| Practice Address |
7450 France Ave S Ste 100 Edina MN 55435-4799 |
| Practice Telephone | 9528328100 |
| Mailing Telephone | 9528328100 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3655 | MN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 27OA00684100 | NJ | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Omni Eye Services, 485 Us-1, Iselin, NJ 08830 | 7327500400 |
| Street Address |
7450 FRANCE AVE S STE 100 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-4799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407112881 | Phillip Michael Armand Radke | Ophthalmology | 7450 France Ave S Ste 100, Edina, MN 55435-4799 | 2012-04-10 |
| 1477034171 | Christina Anne Kuzas | Optometrist | 7450 France Ave S Ste 100, Edina, MN 55435-4799 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| 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 |
|---|---|---|---|---|
| 1194215582 | Joel Woods | Optometrist | 2915 Southdale Ctr, Edina, MN 55435-7041 | 2018-05-11 |
| 1396125837 | Zachary Robert Holland | Optometrist | 5201 Eden Ave Ste 150, Edina, MN 55436-2359 | 2015-05-29 |
| 1275887309 | Tamara Legg | Optometrist | 2195 Southdale Shopping Center, Edina, MN 55435 | 2012-10-26 |
| 1821243239 | Fifth Avenue of Edina Inc. | Optometrist | 3540 Galleria, Edina, MN 55435-4218 | 2008-11-26 |
| 1003091471 | Tamra L Larson | Optometrist | 3300 Edinborough Way Ste 412, Edina, MN 55435-5960 | 2008-01-04 |
| 1841332624 | The Lasik Vision Institute LLC | Optometrist | 3209 W 76th St, Ste300, Edina, MN 55435-5246 | 2007-02-12 |
| 1366592511 | Vision Services Inc. | Optometrist | 1090 Southdale Ctr, Edina, MN 55435-7050 | 2007-01-11 |
| 1679641914 | Stephen Reigstad | Optometrist | 1030 Southdale Ctr, Edina, MN 55435-7050 | 2006-12-04 |
| 1679580500 | Toni Leann Albrecht | Optometrist | 3380 Galleria, Invision, Edina, MN 55435 | 2006-08-02 |
| 1720032071 | Rodney Albert Binfet | Optometrist | 2195 Southdale Ctr, Edina, MN 55435-7065 | 2006-05-20 |
| Find all providers in EDINA | ||||
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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.