MIDWEST EYE LABORATORIES WOODBURY LLC (NPI# 1699080945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699080945 |
Entity Type | Organization |
Organization Name | MIDWEST EYE LABORATORIES WOODBURY LLC |
Practice Address |
7582 Currell Blvd Suite 109 Woodbury MN 55125-2262 |
Mailing Address |
800 Wisconsin St. Mailbox 103 Eau Claire WI 54703-3613 |
Practice Telephone | 7158319000 |
Practice Fax Number | 7158319090 |
Mailing Telephone | 7158319000 |
Mailing Fax Number | 7158319090 |
Enumeration Date | 2010-08-11 |
Last Update Date | 2011-04-01 |
Authorized Official Name | MR. TIMOTHY J BARRETT (PRESIDENT/OCULARIST) |
Authorized Official Telephone | 7158319000 |
Authorized Official Credential | BCO |
Is Organization Subpart | Y |
Parent Organization Name | PRECISE OCULAR PROSTHETICS, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1699080945 | 05 |
Street Address |
7582 CURRELL BLVD SUITE 109 |
City | WOODBURY |
State | MN |
Zip Code | 55125-2262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659301398 | Counseling Psychologists of Woodbury, P.a. | Psychologist | 7582 Currell Blvd, Suite 208, Woodbury, MN 55125-2262 | 2006-07-04 |
1609290832 | Vanessa Schulte | Social Worker | 7582 Currell Blvd, Counseling Psychologists of Woodbury, Ste. 108, Woodbury, MN 55125-2262 | 2014-02-07 |
1396033486 | Bonnie Slaughter | Counselor | 7582 Currell Blvd, Woodbury, MN 55125-2262 | 2011-07-11 |
1124263223 | John Robert Sabino | Social Worker | 7582 Currell Blvd, Ste 208, Woodbury, MN 55125-2262 | 2008-12-04 |
1437338191 | Weili Shen | Acupuncturist | 7582 Currell Blvd, Suite 215, Woodbury, MN 55125 | 2007-10-30 |
1730307984 | Timothy J Barrett | Technician/Technologist | 7582 Currell Blvd, Suite 109, Woodbury, MN 55125-2262 | 2007-04-23 |
1659598043 | Midwest Eye Laboratories Inc | Prosthetic/Orthotic Supplier | 7582 Currell Blvd, Suite 109, Woodbury, MN 55125-2262 | 2007-04-19 |
1699828210 | Kevin Sean Conners | Chiropractor | 7582 Currell Blvd, Woodbury, MN 55125-2262 | 2007-01-18 |
1386711844 | Thomas Micheal Crist | Dentist | 7582 Currell Blvd, Suite 210, Woodbury, MN 55125-2262 | 2006-11-29 |
1699842351 | Preserve Dentistry, Pa | Dentist | 7582 Currell Blvd, Suite 210, Woodbury, MN 55125-2262 | 2006-11-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
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Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306902796 | Mary Corsetieres Ltd | Prosthetic/Orthotic Supplier | 930 Woodbury Rd, Woodbury, NY 11797-2502 | 2006-12-29 |
1275599706 | Tillges Certified Orthotic Prosthetic, Inc. | Prosthetic/Orthotic Supplier | 563 Bielenberg Dr, Suite 110, Woodbury, MN 55125-1415 | 2006-04-24 |
1710307061 | Mark W. Wilhelm Dmd, Msd, Pa | Prosthetic/Orthotic Supplier | 6861 Upper Afton Rd, Suite 101, Woodbury, MN 55125-4417 | 2014-04-24 |
1982965505 | Fsminnesotaone LLC | Prosthetic/Orthotic Supplier | 7060 Valley Creek Plz, Suite 113, Woodbury, MN 55125-2269 | 2012-05-30 |
1437482874 | S & K Alternatives, LLC | Prosthetic/Orthotic Supplier | 7060 Valley Creek Plz, Ste. 113, Woodbury, MN 55125-2269 | 2009-09-17 |
1659598043 | Midwest Eye Laboratories Inc | Prosthetic/Orthotic Supplier | 7582 Currell Blvd, Suite 109, Woodbury, MN 55125-2262 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578648 | Kanika Lanese Baker | Prosthetic/Orthotic Supplier | 7240 Brooklyn Blvd Ste 150, Brooklyn Park, MN 55429-1274 | 2020-11-05 |
1932758067 | David Allen Young | Prosthetic/Orthotic Supplier | 1163 Wayzata Blvd E, Wayzata, MN 55391-1935 | 2019-09-11 |
1073080230 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2805 Campus Dr Ste 101, Plymouth, MN 55441-2676 | 2018-10-25 |
1760998165 | Abilitech Medical, Inc. | Prosthetic/Orthotic Supplier | 628 Pine St, Saint Paul, MN 55130-4421 | 2017-12-20 |
1003351990 | Arise Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 8338 Highway 65 Ne, Suite E, Spring Lake Park, MN 55432-1364 | 2016-12-30 |
1073065298 | Language of Hair | Prosthetic/Orthotic Supplier | 1615 London Rd, Duluth, MN 55812-1620 | 2016-11-04 |
1275900664 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 12401 Wayzata Blvd, Minnetonka, MN 55305-1974 | 2015-09-01 |
1326483264 | Prosthetic Specialties LLC | Prosthetic/Orthotic Supplier | 13143 Lake Place Rd, Zimmerman, MN 55398-9567 | 2013-05-06 |
1427300706 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1073 Highway 15 S, Plaza 15, Hutchinson, MN 55350-3153 | 2012-10-10 |
1033461322 | Rebound Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 300 Catlin St Ste 104, Buffalo, MN 55313-2035 | 2012-10-10 |
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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.