EYE CLINIC OF FARIBAULT PA (NPI# 1831154681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831154681 |
| Entity Type | Organization |
| Organization Name | EYE CLINIC OF FARIBAULT PA |
| Other Organization Name | RICHIE EYE CLINIC |
| Practice Address |
1575 20th St Nw Ste 101 Faribault MN 55021-2930 |
| Practice Telephone | 5073329900 |
| Practice Fax Number | 5073326800 |
| Mailing Telephone | 5073329900 |
| Mailing Fax Number | 5073326800 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2008-01-24 |
| Authorized Official Name | MR. MICHAEL G RICHIE (OWNER) |
| Authorized Official Telephone | 5073329900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 5584709 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | DA3675 | 01 |
| Other Name | Type Code |
|---|---|
| Richie Eye Clinic | Doing Business As Name - Organization |
| Street Address |
1575 20TH ST NW STE 101 |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639457427 | Jayne Bongers | Hearing Instrument Specialist | 1575 20th St Nw Ste 101, Faribault, MN 55021-2931 | 2011-07-27 |
| 1700890803 | David Earl Malmanger | Optometrist | 1575 20th St Nw Ste 101, Faribault, MN 55021-2931 | 2006-07-27 |
| 1679595276 | Murray Hanson | Optometrist | 1575 20th St Nw Ste 101, Faribault, MN 55021-2931 | 2006-07-24 |
| 1851313415 | Bruce Gustafson | Optometrist | 1575 20th St Nw Ste 101, Faribault, MN 55021-2931 | 2006-07-24 |
| 1679594972 | Michael G Richie | Ophthalmology | 1575 20th St Nw Ste 101, Faribault, MN 55021-2931 | 2006-07-21 |
| 1093733966 | Michelle Muench | Ophthalmology | 1575 20th St Nw Ste 101, Faribault, MN 55021-2931 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073879466 | Lundstrom Chiropractic Centers, Inc. | Clinic/Center | 111 Central Ave N, Suite 2, Faribault, MN 55021-5252 | 2012-04-10 |
| 1700029790 | Eye Care Associates of Faribault | Clinic/Center | 112 4th St Nw, Faribault, MN 55021-5101 | 2009-04-07 |
| 1073811543 | Advanced Hearing Inc | Clinic/Center | 1645 Lyndale Ave N, #103, Faribault, MN 55021-2934 | 2011-03-08 |
| 1003112459 | Allina Health System | Clinic/Center | 100 State Ave, Faribault, MN 55021-6337 | 2011-02-02 |
| 1013213826 | Allina Health System | Clinic/Center | 100 State Ave, Faribault, MN 55021-6337 | 2011-01-27 |
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| 1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
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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.