KEVIN RODDA (NPI# 1649761735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649761735 |
Entity Type | Individual |
Full Name | KEVIN RODDA |
Credential | OD |
Practice Address |
16550 W 78th St Ste A Eden Prairie MN 55346 |
Mailing Address |
6601 Lyndale Ave S Ste 160 Richfield MN 55423-2690 |
Practice Telephone | 9529346926 |
Practice Fax Number | 9529343402 |
Mailing Telephone | 6128691333 |
Enumeration Date | 2018-05-23 |
Last Update Date | 2020-08-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 3556 | MN | Eye and Vision Services Providers |
Address | Telephone Number | Fax Number |
---|---|---|
16550 W 78th St Ste A, Eden Prairie, MN 55346 | 9529346926 | 9529343402 |
20094 Kenwood Trl, Lakeville, MN 550445404 | 9524693937 | 8777959884 |
Street Address |
16550 W 78TH ST STE A |
City | EDEN PRAIRIE |
State | MN |
Zip Code | 55346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780671321 | Family Eye Clinic and Contact Lens Center | Optometrist | 16550 W 78th St Ste A, Eden Prairie, MN 55346-4316 | 2005-09-29 |
1841776770 | Rachel Nicole Strang | Optometrist | 16550 W 78th St Ste A, Eden Prairie, MN 55346-4316 | 2018-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528608874 | Maria Phelps | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346 | 2020-01-14 |
1225447113 | Abby Johnson | Specialist/Technologist | 16550 W 78th Street, Suite B, Eden Prairie, MN 55346 | 2014-08-05 |
1891891438 | Celleration Inc | Durable Medical Equipment & Medical Supplies | 6321 Bury Drive Suite 15, Celleration, Inc, Eden Prairie, MN 55346 | 2006-09-14 |
1407863012 | Matthew Reece Meyer | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
1902859887 | Minnesota Medical Scanning Corporation | Radiology | 16570 West 78th Street, Ste 1, Eden Prairie, MN 55346 | 2006-05-19 |
1821098369 | Linda Eld | Nurse Practitioner | 16490 W 78th St, Eden Prairie, MN 55346 | 2005-07-27 |
1285641803 | Anthony August Pesola | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
1508873118 | Osberg Pesola Scamp Kaivo Dds Pa | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
1831106442 | James Charles Osberg | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
1225289796 | Julie Ann Wettstein | Counselor | 18971 Barrington Dr, Eden Prairie, MN 55346-1032 | 2008-10-02 |
Find all providers in zip 55346 |
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 |
---|---|---|---|---|
1821586801 | Afira Hasan, O.d., Pllc | Optometrist | 7731 Flying Cloud Dr, Eden Prairie, MN 55344-3708 | 2018-04-25 |
1508096314 | Pei Ling Chov Jamison | Optometrist | 7912 Mitchell Rd, Eden Prairie, MN 55344-2218 | 2009-07-15 |
1902035934 | Wyatt Peterson | Optometrist | 10255 Summer Pl, Eden Prairie, MN 55347-4719 | 2009-07-12 |
1235350745 | Nadia Siddiqi Khan | Optometrist | 8251 Flying Cloud Drive, Suite 2176, Eden Prairie, MN 55344 | 2007-05-01 |
1295887958 | D & S Vision Care Inc | Optometrist | 8251 Flying Cloud Dr, 1296, Eden Prairie, MN 55344-5350 | 2007-01-16 |
1104975762 | Chad R. Dockter | Optometrist | Target Optical, 8225 Flying Cloud Drive, Eden Prairie, MN 55344 | 2007-01-10 |
1073534913 | Afira Hasan | Optometrist | 9896 Pincherry Ln, Eden Prairie, MN 55347-1127 | 2006-07-23 |
1205823648 | Charles Lannom | Optometrist | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4315 | 2005-09-30 |
1780671321 | Family Eye Clinic and Contact Lens Center | Optometrist | 16550 W 78th St Ste A, Eden Prairie, MN 55346-4316 | 2005-09-29 |
1194377671 | Wallerich Eye Care LLC | Optometrist | 8225 Flying Cloud Dr, Eden Prairie, MN 55344-5315 | 2019-07-15 |
Find all providers in EDEN PRAIRIE |
City | EDEN PRAIRIE |
Zip Code | 55346 |
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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.