DON SEALOCK, O.D., P.A. (NPI# 1700335247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700335247 |
| Entity Type | Organization |
| Organization Name | DON SEALOCK, O.D., P.A. |
| Other Organization Name | GLEN LAKE OPTICAL |
| Practice Address |
15450 Highway 7 # 100 Minnetonka MN 55345-3522 |
| Practice Telephone | 9529337107 |
| Practice Fax Number | 9529332831 |
| Mailing Telephone | 9529337107 |
| Mailing Fax Number | 9529332831 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | JENNIE J SEALOCK (SECR/TREAS) |
| Authorized Official Telephone | 7635510529 |
| 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 |
|---|---|
| Glen Lake Optical | 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 |
| 1538624341 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 9825 Hospital Dr # 106, Maple Grove, MN 55369-4479 | 2019-02-06 |
| 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 |
| 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 |
15450 HIGHWAY 7 # 100 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
| 1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
| 1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
| 1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
| 1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
| Find all providers in zip 55345 | ||||
| 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 |
|---|---|---|---|---|
| 1275056517 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 12411 Wayzata Blvd, Minnetonka, MN 55305-1925 | 2017-07-19 |
| 1912275249 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 12701 Wayzata Blvd, Suite #249, Minnetonka, MN 55305-1943 | 2011-12-01 |
| 1780739714 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 12401 Wayzata Blvd Ste 1, Minnetonka, MN 55305-1974 | 2007-01-23 |
| 1992852917 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 12431 Wayzata Blvd, Ridgedale Mall, Minnetonka, MN 55305-1925 | 2007-01-04 |
| 1033294459 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 12701 Wayzata Boulevard, Suite 249, Minnetonka, MN 55305 | 2006-10-25 |
| 1215088299 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 4848 County Road 101, Minnetonka, MN 55345-2635 | 2007-01-16 |
| 1033171558 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 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 |
| 1538624341 | Don Sealock, O.d., P.a. | Eyewear Supplier (Equipment, not the service) | 9825 Hospital Dr # 106, Maple Grove, MN 55369-4479 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
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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.