KATIE E OLINECK (NPI# 1669476610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669476610 |
| Entity Type | Individual |
| Full Name | KATIE E OLINECK |
| Credential | OD |
| Practice Address |
13645 Grove Dr N Maple Grove MN 55311 |
| Mailing Address |
5200 Douglas Dr N Crystal MN 55429-3104 |
| Practice Telephone | 7634208030 |
| Practice Fax Number | 7634209842 |
| Mailing Telephone | 7635373213 |
| Mailing Fax Number | 7635376732 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2876 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS/BLUE SHIELD | 644S6OL | 01 |
| MN | UCARE SRS AND MN | 171040 | 01 |
| MN | HEALTH PARTNERS | HP37235 | 01 |
| MN | BLUE CROSS/BLUE SHIELD | 331J9OL | 01 |
| MN | PREFERRED ONE | 935301032789 | 01 |
| MN | SELECT CARE | 22-01907 | 01 |
| MN | PREFERRED ONE | 964111032789 | 01 |
| MN | MEDICA CHOICE | 22-01907 | 01 |
| MN | MEDICA CHOICE | 22-01908 | 01 |
| MN | COLE MANAGED VISION | 219596 | 01 |
| MN | MEDICA PRIMARY | 22-01181 | 01 |
| MN | SELECT CARE | 22-01908 | 01 |
| MN | ARAZ/AMERICA'S PPO | 1808779 | 01 |
| Street Address |
13645 GROVE DR N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214091 | Scott A Frick | Optometrist | 13645 Grove Dr N, Maple Grove, MN 55311-4405 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391374 | Deborah Lynn Higgins | Foster Care Agency | 8288 Revelwood Place, Maple Grove, MN 55311 | 2017-08-03 |
| 1013457993 | Trillium Chiropractic & Wellness Pa | Chiropractor | 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 | 2017-02-27 |
| 1720535263 | Fischer Vision PC | Optometrist | 13334 Bass Lake Road North, Maple Grove, MN 55311 | 2016-09-01 |
| 1033571062 | Iman Dadras Konestani | Marriage & Family Therapist | 9325 Garland Lane N Apt 108, Mapple Grove, MN 55311 | 2016-03-29 |
| 1902272685 | Todd Archbold | Social Worker | 18153 80th Pl N, Maple Grove, MN 55311 | 2015-08-17 |
| 1144634395 | Petersen Chiropractic Inc. | Chiropractor | 9505 Blackoaks Ln No., Maple Grove, MN 55311 | 2014-06-16 |
| 1972738276 | Sara Jean Bidler | Marriage & Family Therapist | 7026 E Fish Lake Rd, Maple Grove, MN 55311 | 2009-05-16 |
| 1962670026 | Helminger Chiropractic, P.a. | Chiropractor | 9479 Garland Lane North, Maple Grove, MN 55311 | 2008-02-12 |
| 1457579450 | Cynthia C Cassel | Physician Assistant | 6300 Wedgewood Way, Maple Grove, MN 55311 | 2007-04-23 |
| 1386860732 | Thomas Triden | Chiropractor | 7494 East Fish Lake Road, Maple Grove, MN 55311 | 2007-04-17 |
| Find all providers in zip 55311 | ||||
| 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 |
|---|---|---|---|---|
| 1265924088 | Emily Boss | Optometrist | 7767 Elm Creek Blvd N Ste 140, Maple Grove, MN 55369-7066 | 2018-06-06 |
| 1609397116 | Chuatong Thao | Optometrist | 11651 Fountains Dr Ste A-104, Maple Grove, MN 55369-7195 | 2017-07-06 |
| 1720535263 | Fischer Vision PC | Optometrist | 13334 Bass Lake Road North, Maple Grove, MN 55311 | 2016-09-01 |
| 1164861357 | Optometric Eye Care Centers, Pa | Optometrist | 7880 Main St N, Maple Grove, MN 55369-7081 | 2013-06-20 |
| 1497057871 | North Star Eye Associates | Optometrist | 7767 Elm Creek Blvd N, Ste 140, Maple Grove, MN 55369-7041 | 2010-11-17 |
| 1659556264 | G.r. Thomas Jr Od Pa | Optometrist | 7880 Mainstreet, Maple Grove, MN 55369-7081 | 2008-01-02 |
| 1942401039 | Londa Lea Fischer Costello | Optometrist | 13334 Bass Lake Rd, Maple Grove, MN 55311-4540 | 2007-05-29 |
| 1245374115 | Michael V Dieter | Optometrist | 12000 Elm Creek Blvd N Ste L90, Maple Grove, MN 55369-7168 | 2007-02-16 |
| 1396896155 | Daniel Lee Whited | Optometrist | 12131 Elm Creek Blvd N, Maple Grove, MN 55369-7093 | 2007-01-16 |
| 1063561066 | Renee M Ritzer | Optometrist | 13195 Weaver Lake Road, Maple Grove, MN 55369 | 2007-01-09 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55311 |
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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.