KARISA JEAN ETTER (NPI# 1821479403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821479403 |
Entity Type | Individual |
Full Name | KARISA JEAN ETTER |
Credential | O.D. |
Practice Address |
2500 Como Ave Saint Paul MN 55108 |
Mailing Address |
8170 33rd Ave S # Ms 21110q Minneapolis MN 55425-4516 |
Practice Telephone | 6516416200 |
Mailing Telephone | 6516416200 |
Enumeration Date | 2015-06-09 |
Last Update Date | 2019-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 3489 | MN | Eye and Vision Services Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3710 Sw Veterans Hospital Rd, Portland, OR 972392964 | 5032208262 |
Street Address |
2500 COMO AVE |
City | SAINT PAUL |
State | MN |
Zip Code | 55108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942295050 | Kara Serene Boyko Frandson | Pharmacist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2005-09-14 |
1205333275 | David Bryan Polley | Registered Nurse | 2500 Como Ave, Saint Paul, MN 55108 | 2018-04-06 |
1578065348 | Crystalyn Morton | Registered Nurse | 2500 Como Ave, Mail Stop 31100a, Saint Paul, MN 55108-1460 | 2018-03-07 |
1831610401 | Dema Mohammed | Pharmacist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2017-07-04 |
1225568520 | Lauren Michele Soukup | Optometrist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2017-06-19 |
1174059166 | Elliott Scott Foss | Physician Assistant | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2017-05-11 |
1376081133 | Estella Dennis | Registered Nurse | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2017-02-01 |
1619411808 | Katherine A. Becker | Physician Assistant | 2500 Como Ave, Saint Paul, MN 55108 | 2016-12-07 |
1528428398 | Jacquelyn Wright Wagner | Psychologist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2016-03-07 |
1770979536 | Colin Thomas O'connor | Physician Assistant | 2500 Como Ave, Saint Paul, MN 55108 | 2015-04-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
Find all providers in zip 55108 |
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 |
---|---|---|---|---|
1699399592 | Nicole Rene Schmiedt | Optometrist | 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 | 2020-06-05 |
1982247870 | Lauren K Haverly LLC | Optometrist | 272 Snelling Ave S Ste 300, Saint Paul, MN 55105-2045 | 2019-10-23 |
1124506852 | Amanda Mcmullen | Optometrist | 2716 Lincoln Dr, Saint Paul, MN 55113-1333 | 2018-08-03 |
1306218995 | Village Eye Care LLC | Optometrist | 1001 Johnson Pkwy Ste B15, Saint Paul, MN 55106-3696 | 2015-10-22 |
1326488008 | Matthew K Anderson | Optometrist | 506 7th St W, Saint Paul, MN 55102 | 2013-06-26 |
1518232149 | Solomon M Gould | Optometrist | 1995 Burns Ave Ste B, Saint Paul, MN 55119-4906 | 2012-03-15 |
1912224767 | The Spectacle Shoppe Inc | Optometrist | 1089 Grand Ave, Saint Paul, MN 55105-3002 | 2010-05-03 |
1740515832 | Gaile Kristine Philipp | Optometrist | 3001 White Bear Ave N Ste 1050, Saint Paul, MN 55109-1283 | 2009-10-07 |
1982769501 | Calvin Optometry Pllc | Optometrist | 1995 Burns Ave., Suite B, Saint Paul, MN 55119-4906 | 2006-12-26 |
1194884635 | Troy E Randgaard | Optometrist | 2034 Ford Pkwy, Saint Paul, MN 55116-1931 | 2006-12-08 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55108 |
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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.