ST PAUL EYE CLINIC PA (NPI# 1720173651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720173651 |
Entity Type | Organization |
Organization Name | ST PAUL EYE CLINIC PA |
Practice Address |
2080 Woodwinds Dr Suite 110 Woodbury MN 55125-2523 |
Practice Telephone | 6517386800 |
Practice Fax Number | 6517146997 |
Mailing Telephone | 6517386800 |
Mailing Fax Number | 6517146997 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2012-06-15 |
Authorized Official Name | DR. THOMAS J. RICE (PRESIDENT) |
Authorized Official Telephone | 6517386800 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629170469 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 1093 Grand Ave, Saint Paul, MN 55105-3002 | 2006-09-02 |
1508968355 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 3440 Oleary Ln, Eagan, MN 55123-2340 | 2006-09-02 |
1326140161 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 200 Thompson Ave E, Saint Paul, MN 55118-3219 | 2006-09-02 |
1437251287 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 1675 Beam Ave, Ste 100, Maplewood, MN 55109 | 2006-09-02 |
1306948153 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 2680 Snelling Ave N, Suite 110, Roseville, MN 55113-1821 | 2006-09-02 |
1669574646 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2524 | 2006-09-01 |
Street Address |
2080 WOODWINDS DR SUITE 110 |
City | WOODBURY |
State | MN |
Zip Code | 55125-2523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447219274 | Jennifer M Becker | Nurse Practitioner | 2080 Woodwinds Dr, Suite 240, Woodbury, MN 55125-2523 | 2006-03-21 |
1124456413 | St. Paul Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2523 | 2013-10-23 |
1174750079 | Alla Kelly | Ophthalmology | 2080 Woodwinds Dr, 110, Woodbury, MN 55125-2523 | 2009-06-18 |
1760637409 | Christopher C Schnelle | Optometrist | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2008-11-21 |
1730361478 | Midwest Surgery Center | Nurse Anesthetist, Certified Registered | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2007-12-05 |
1326169160 | Garrett R Griffin | Otolaryngology | 2080 Woodwinds Dr, Suite 120, Woodbury, MN 55125 | 2007-04-02 |
1033249065 | Patricia Ann Carroll | Occupational Therapist | 2080 Woodwinds Dr, #240, Woodbury, MN 55125-2523 | 2007-03-07 |
1629130521 | Midwest Surgery Center | Clinic/Center | 2080 Woodwinds Dr, Woodbury, MN 55125-2523 | 2006-12-15 |
1588754584 | Otolaryngology Head & Neck Surgery, Pa | Hearing Aid Equipment | 2080 Woodwinds Dr, #240, Woodbury, MN 55125-2523 | 2006-10-13 |
1053410837 | Gerald J Buda | Nurse Anesthetist, Certified Registered | 2080 Woodwinds Dr, Woodbury, MN 55125-2523 | 2006-09-21 |
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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 |
Find all providers in zip 55125 |
Taxonomy Code | 261QS0132X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ophthalmologic Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801068853 | Metropolitan Eye Care Specialists, P.a. | Clinic/Center | 150 E Travelers Trl, Suite D, Burnsville, MN 55337-6889 | 2008-03-31 |
1073020681 | Eyeswear | Clinic/Center | 720 W Lake St # 107, Minneapolis, MN 55408-2963 | 2018-01-04 |
1043760119 | The Total Vision Institute LLC | Clinic/Center | 7415 Wayzata Blvd, St Louis Park, MN 55426-1607 | 2016-10-12 |
1508312554 | The Cataract Vision Institute LLC | Clinic/Center | 3209 W 76th St, Suite 300, Edina, MN 55435-5246 | 2016-08-30 |
1245629369 | Eyecare Mpls Pllc | Clinic/Center | 3033 Excelsior Blvd, Suite 205, Minneapolis, MN 55416-4688 | 2015-01-13 |
1154633253 | Weis Eye Center | Clinic/Center | 4815 W Arrowhead Rd, Suite 120, Hermantown, MN 55811-4004 | 2010-07-06 |
1013244276 | University of Minnesota Department of Ophthalmology | Clinic/Center | 516 Delaware St Se, Department of Ophthalmology, Minneapolis, MN 55455-0356 | 2009-11-09 |
1083885081 | Chu Surgery Center, LLC | Clinic/Center | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2008-03-18 |
1992841076 | Columbus Eye Associates, Inc | Clinic/Center | 3300 Edinborough Way, Suite 412, Edina, MN 55435-5923 | 2007-01-29 |
1437202967 | Regional Eye Surgery Center, Inc. | Clinic/Center | 1455 Montreal St Se, Hutchinson, MN 55350 | 2007-01-19 |
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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.