REGENTS OF THE UNIVERSITY OF MINNESOTA


Address: 410 Church Street Se, Minneapolis, MN 55455-0346
Phone: 6126258400

REGENTS OF THE UNIVERSITY OF MINNESOTA (NPI# 1821218173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821218173
Entity Type Organization
Organization Name REGENTS OF THE UNIVERSITY OF MINNESOTA
Other Organization Name BOYNTON HEALTH SERVICE
Practice Address 410 Church Street Se
Minneapolis
MN 55455-0346
Practice Telephone 6126258400
Practice Fax Number 6126251434
Mailing Telephone 6126258400
Mailing Fax Number 6126251434
Enumeration Date 2007-04-27
Last Update Date 2007-10-15
Authorized Official Name DR. EDWARD PETER EHLINGER (DIRECTOR)
Authorized Official Telephone 6126251612
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name REGENTS OF THE UNIVERSITY OF MINNESOTA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 156F00000X Technician/Technologist Eye and Vision Services Providers
Y 152W00000X Optometrist Eye and Vision Services Providers

Other Provider/Organization Names

Other Name Type Code
Boynton Health Service Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528515194 Regents of The University of Minnesota Clinic/Center 814 S 3rd Street, Minneapolis, MN 55415 2016-09-01
1316223159 Regents of The University of Minnesota Military Hospital 75 E River Rd, Elliott Hall, Rm# 416, Minneapolis, MN 55455-0366 2011-10-25
1538389887 Regents of The University of Minnesota Psychoanalyst 410 Church Street Se, Minneapolis, MN 55455-0346 2007-04-27
1952712366 Regents of The University of Minnesota Dentist 515 Delaware St Se, 7-530 Moos Tower, Minneapolis, MN 55455-0369 2014-05-20
1164763629 Regents of The University of Minnesota Clinic/Center 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 2013-03-08
1982907366 Regents of The University of Minnesota Clinic/Center 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 2010-12-07
1962657932 Regents of The University of Minnesota Clinic/Center 515 Delaware St Se, 6-322 Moos Tower, Minneapolis, MN 55455-0357 2008-11-18
1043472319 Regents of The University of Minnesota Specialist 420 Delaware St Se, Mmc 501 Mayo, Minneapolis, MN 55455-0341 2008-06-27
1538338595 Regents of The University of Minnesota Clinic/Center 515 Delaware St Se, 7th Floor Moos Tower, Minneapolis, MN 55455-0357 2008-02-25
1790954766 Regents of The University of Minnesota Clinic/Center 515 Delaware St Se, 6th Floor Moos Tower, Minneapolis, MN 55455-0357 2008-02-25

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities REGENTS OF THE UNIVERSITY OF MINNESOTA 106 Pleasant St Se Ste 210, Minneapolis, MN 55455-0433

Office Location

Street Address 410 CHURCH STREET SE
City MINNEAPOLIS
State MN
Zip Code 55455-0346

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538389887 Regents of The University of Minnesota Psychoanalyst 410 Church Street Se, Minneapolis, MN 55455-0346 2007-04-27
1992062285 Nisha Fernandes Psychiatry & Neurology 410 Church Street Se, Minneapolis, MN 55455 2012-04-11
1528288875 Regents of The University of Minnesota Pharmacist 410 Church Street Se, Minneapolis, MN 55455-0346 2007-04-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932715679 Kara Biscobing Nurse Anesthetist, Certified Registered M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 2020-09-18
1982213237 Yue Hu Dentist 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 2020-07-23
1952922148 Jacob Laurence Tigner Student in an Organized Health Care Education/Training Program 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 2020-04-29
1710507538 Rachael Grundman Student in an Organized Health Care Education/Training Program 420 Delaware St, Mmc 395, Minneapolis, MN 55455 2020-04-22
1497375240 Sanjay Dhawan Student in an Organized Health Care Education/Training Program 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 2020-04-22
1508486549 Dariel Andres Diaz Student in an Organized Health Care Education/Training Program 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 2020-04-20
1275186280 Kerem Ozturk Radiology B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 2019-07-18
1275194631 Andres Jose Gonzalez Coba Student in an Organized Health Care Education/Training Program 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 2019-06-26
1841850278 Brendan Andrew Schleyer Dentist 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 2019-06-18
1932767399 Claire-audrey Y Bayan Student in an Organized Health Care Education/Training Program 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 2019-05-31
Find all providers in zip 55455

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992331359 Megan Kaye Horter Optometrist 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 2020-03-18
1770069494 Emmalee Toldo Optometrist 710 E 24th St Ste 100, Minneapolis, MN 55404-3897 2018-07-16
1194216598 Sean Templeman Optometrist 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 2018-05-22
1053824045 Moulay Younes Elidrissi Optometrist 720 W Lake St # 107, Minneapolis, MN 55408-2963 2017-11-13
1811392947 Olson Eye Care, Pllc Optometrist 330 Quincy St Ne, Minneapolis, MN 55413-2314 2014-10-31
1255733309 Paula Moy Optometrist 2215 Park Ave Ste 406, Minneapolis, MN 55404 2014-09-19
1962840371 See Inc Optometrist 3032 Hennepin Ave, Minneapolis, MN 55408-2614 2013-06-07
1942647458 Global Vision, LLC Optometrist 2955 Chicago Ave, Minneapolis, MN 55407-1321 2013-05-24
1518221225 Andrea Vanmeter Optometrist 225 Main St Se, Minneapolis, MN 55414-2124 2012-06-27
1396023735 Maria Majewicz Andrews Optometrist 3102 W 50th St, Minneapolis, MN 55410-2101 2011-08-03
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55455

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Dataset Information

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.

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