KARISA JEAN ETTER


Address: 2500 Como Ave, Saint Paul, MN 55108
Phone: 6516416200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3489 MN Eye and Vision Services Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3710 Sw Veterans Hospital Rd, Portland, OR 972392964 5032208262

Office Location

Street Address 2500 COMO AVE
City SAINT PAUL
State MN
Zip Code 55108

Providers in the same location

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

Providers in the same zip code

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 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
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

Competitor

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City SAINT PAUL
Zip Code 55108

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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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