ERIC RICHARD NELSON MD (NPI# 1851717136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851717136 |
| Entity Type | Organization |
| Organization Name | ERIC RICHARD NELSON MD |
| Other Organization Name | MINNESOTA OPHTHALMIC PLASTIC SURGERY SPECIALISTS |
| Practice Address |
6405 France Ave S Suite W460 Edina MN 55435-2163 |
| Practice Telephone | 9529254161 |
| Practice Fax Number | 9529253520 |
| Mailing Telephone | 9529254161 |
| Mailing Fax Number | 9529253520 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | TORI DODGE (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 9529254161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 33370 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 323003100 | 05 |
| Other Name | Type Code |
|---|---|
| Minnesota Ophthalmic Plastic Surgery Specialists | Doing Business As Name - Organization |
| Street Address |
6405 FRANCE AVE S SUITE W460 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972864 | Demosthenes N Iskos | Internal Medicine | 6405 France Ave S, Suite W200, Edina, MN 55435-2163 | 2005-09-14 |
| 1790145738 | Aybike Bakan-fischer | Physician Assistant | 6405 France Ave S, Edina, MN 55435-2163 | 2016-03-03 |
| 1225496128 | Stephanie Rose Norgaard-erickson | Nurse Practitioner | 6405 France Ave S, Suite W200, Edina, MN 55435-2163 | 2016-02-05 |
| 1538599790 | Fairview Health Services | Clinic/Center | 6405 France Ave S, Suite 480, Edina, MN 55435 | 2013-11-25 |
| 1538504014 | Erin Jean Frendin | Physician Assistant | 6405 France Ave S, Ste W200, Edina, MN 55435-2163 | 2013-05-09 |
| 1689937963 | Brittany N Smith | Physician Assistant | 6405 France Ave S, Edina, MN 55435 | 2012-06-21 |
| 1336409978 | Katherine Eileen Hawkins | Surgery | 6405 France Ave S, Edina, MN 55435-2163 | 2012-05-16 |
| 1265721906 | Joy A Hasseler | Obstetrics & Gynecology | 6405 France Ave S, Ste W400, Edina, MN 55435-2163 | 2011-04-04 |
| 1710133343 | Fairview Express Care | Internal Medicine | 6405 France Ave S, Ste 200, Edina, MN 55435-2163 | 2008-08-14 |
| 1235395864 | Fairview Express Care | Surgery | 6405 France Ave S, Suite W440, Edina, MN 55435-2190 | 2008-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
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| 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 |
|---|---|---|---|---|
| 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 |
| 1336360593 | Carroll Duane Rund | Ophthalmology | 6533 Drew Ave South, Edina, MN 55435 | 2007-05-02 |
| 1649285503 | Wesley Dale Sondreal | Ophthalmology | 3939 W 50th St, Ste. 200, Edina, MN 55424-1244 | 2006-07-29 |
| 1568880755 | Raymond C Croissant Md Pa | Ophthalmology | 6533 Drew Ave S, Edina, MN 55435-2103 | 2014-04-03 |
| 1265733471 | Cornea and Contact Lens Institute of Minnesota | Ophthalmology | 5137 Gus Young Ln, Edina, MN 55436-1530 | 2010-11-04 |
| 1093032435 | Adam Matthew Moss | Ophthalmology | 3100 W 70th St, Edina, MN 55435-4227 | 2010-04-26 |
| 1609103209 | Horn Ophthalmology Inc | Ophthalmology | 6533 Drew Ave S, Edina, MN 55435-2103 | 2009-11-03 |
| 1457584336 | Sanderson Eye Pllc | Ophthalmology | 5137 Gus Young Lane, Edina, MN 55436-1530 | 2009-08-26 |
| 1699918904 | Donald Paul Le Win | Ophthalmology | 3100 W 70th St, Edina, MN 55435-4227 | 2009-04-16 |
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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.