PROEYECARE ASSOCIATES PA (NPI# 1790073815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790073815 |
| Entity Type | Organization |
| Organization Name | PROEYECARE ASSOCIATES PA |
| Practice Address |
4625 Churchill St Suite 210 Shoreview MN 55126-5868 |
| Mailing Address |
1570 Concordia Ave Suite 202 Saint Paul MN 55104-5338 |
| Practice Telephone | 6516453997 |
| Practice Fax Number | 6516417207 |
| Mailing Telephone | 6516453997 |
| Mailing Fax Number | 6516417207 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |
| Authorized Official Name | DIANNA KENT (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 6516453997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376829457 | Proeyecare Associates Pa | Ophthalmology | 7634 160th St W, Lakeville, MN 55044-4442 | 2011-11-02 |
| 1225324981 | Proeyecare Associates Pa | Ophthalmology | 1570 Concordia Ave, Suite 202, Saint Paul, MN 55104-5338 | 2011-06-21 |
| Street Address |
4625 CHURCHILL ST SUITE 210 |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-5868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657872 | Jay Jiekuen Lou | Allergy & Immunology | 4625 Churchill St, Suite 211, Shoreview, MN 55126-5868 | 2006-04-10 |
| 1598045940 | Kristian Olson | Physical Therapist | 4625 Churchill St, Suite 204, Shoreview, MN 55126-5868 | 2011-08-17 |
| 1104115534 | Debra Lyn Vevea | Dietitian, Registered | 4625 Churchill St, Suite 110, Shoreview, MN 55126 | 2011-04-06 |
| 1619122884 | Urology Associates, Ltd. | Urology | 4625 Churchill St, Suite 110, Shoreview, MN 55126-5868 | 2008-12-01 |
| 1659556306 | Instep Foot Clinc, P.a. | Podiatrist | 4625 Churchill St, Suite 201, Shoreview, MN 55126-5868 | 2007-12-31 |
| 1730271693 | David Robert Dunphy | Dentist | 4625 Churchill St, Suite 205, Shoreview, MN 55126 | 2006-09-29 |
| 1215041025 | Kelly Lynne Roberts | Physical Therapist | 4625 Churchill St, Motioncare Shoreview Medical Center Suite 204, Shoreview, MN 55126 | 2006-08-18 |
| 1891729737 | Allergy, Asthma and Immunology Clinic, P.a. | Clinic/Center | 4625 Churchill St, Suite 211, Shoreview, MN 55126-5868 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356556500 | Progressive Eyecare Associates | Ophthalmology | 4625 Churchill Street, Suite 210, Shoreview, MN 55126 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290486 | Eye Care Associates, Pa | Ophthalmology | 710 E 24th St Ste 101-201, Minneapolis, MN 55404-3840 | 2018-10-12 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1790228294 | Eye Associates of Central Minnesota Pa | Ophthalmology | 628 Roosevelt Rd, Suite 101, Saint Cloud, MN 56301-4867 | 2016-12-01 |
| 1093160491 | Christina Gillmor | Ophthalmology | 516 Delaware St Se Fl 9, Minneapolis, MN 55455-0356 | 2016-05-04 |
| 1861889776 | Michael Andrew Jordan | Ophthalmology | 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 | 2015-04-17 |
| 1467872390 | Luke Dolezal | Ophthalmology | 5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 | 2014-04-17 |
| 1811330939 | James Layer | Ophthalmology | 3708 Upton Ave S, Minneapolis, MN 55410-1237 | 2013-04-08 |
| 1093058158 | Hao Tang | Ophthalmology | 7760 France Ave S Ste 310, Edina, MN 55435 | 2013-03-27 |
| 1407112881 | Phillip Michael Armand Radke | Ophthalmology | 7450 France Ave S Ste 100, Edina, MN 55435-4799 | 2012-04-10 |
| 1023374964 | Sasha Strul | Ophthalmology | 701 25th Ave S Ste 300, Minneapolis, MN 55454-1443 | 2012-04-04 |
| Find all providers with the same taxonomy | ||||
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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.