SIRIUS VISION OPTICAL INC (NPI# 1780023879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780023879 |
| Entity Type | Organization |
| Organization Name | SIRIUS VISION OPTICAL INC |
| Other Organization Name | PEARLE VISION |
| Practice Address |
1056 Burnsville Ctr Burnsville MN 55306-4408 |
| Practice Telephone | 9524358821 |
| Practice Fax Number | 9524351624 |
| Mailing Telephone | 9524358821 |
| Mailing Fax Number | 9524351624 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |
| Authorized Official Name | DR. PATRICK JOHN MARTIN (OPTOMETRIST) |
| Authorized Official Telephone | 9524358821 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2093 | MN | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Pearle Vision | Doing Business As Name - Organization |
| Street Address |
1056 BURNSVILLE CTR |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55306-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396814281 | Double Image, Inc | Durable Medical Equipment & Medical Supplies | 1056 Burnsville Ctr, Burnsville, MN 55306-4408 | 2006-11-07 |
| 1952591687 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1056 Burnsville Ctr, Burnsville, MN 55306-4408 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
| 1639717986 | Kaylee Nadine Frederickson | Speech-Language Pathologist | 14451 Grand Ave S, Burnsville, MN 55306 | 2019-12-17 |
| 1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
| 1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
| 1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
| 1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
| 1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
| 1417205436 | Heather Heide | Student in an Organized Health Care Education/Training Program | 14750 Lac Lavon Dr, Burnsville, MN 55306 | 2012-08-23 |
| 1427243898 | Rehana Leila Ahmed-saucedo | Dermatology | 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 | 2007-09-10 |
| 1881815397 | Kyle James Colbert | Chiropractor | 745 Crystal Lake Rd East, Burnsville, MN 55306 | 2007-05-01 |
| Find all providers in zip 55306 | ||||
| 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 |
|---|---|---|---|---|
| 1780161539 | Stacy Perreault | Optometrist | 915 County Road 42 W Ste 2036, Burnsville, MN 55306-4427 | 2018-07-24 |
| 1710407622 | Lisa Jo Holtman | Optometrist | 1004 County Road 42 E, Burnsville, MN 55337-4652 | 2017-06-21 |
| 1639555261 | Brubaker Vision LLC | Optometrist | 11712 Galtier Dr, Burnsville, MN 55337-3208 | 2015-08-05 |
| 1467712133 | Emily Ann Ufken | Optometrist | 1004 Country Rd 42 East, Burnsville, MN 55337 | 2012-05-29 |
| 1235457722 | The Spectacle Shoppe Inc | Optometrist | 1178 Burnsville Ctr, Suite 201, Burnsville, MN 55306-6218 | 2010-05-10 |
| 1205070927 | Metropolitan Eye Care Specialists LLC | Optometrist | 150 Travelers Trail East, Suite D, Burnsville, MN 55337 | 2009-04-24 |
| 1710140884 | Cindy A. Alland | Optometrist | 14250 Buck Hill Rd, Sears Optical, Burnsville, MN 55306-4925 | 2008-07-08 |
| 1861568727 | Malin Craig Stakston | Optometrist | 12548 Parkwood Dr, Burnsville, MN 55337 | 2006-11-24 |
| 1730100181 | Dr. Gregory M. Macik, Optometrist, P.a. | Optometrist | 150 Traveler's Trail East, Suite D, Burnsville, MN 55337 | 2006-07-21 |
| 1043241698 | Randal P North | Optometrist | 2070-72 Burnsville Center, Burnsville, MN 55306-4438 | 2006-07-05 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55306 |
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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.