DR. LONDA LEA FISCHER COSTELLO


Address: 13334 Bass Lake Rd, Maple Grove, MN 55311-4540
Phone: 7634961625

DR. LONDA LEA FISCHER COSTELLO (NPI# 1942401039) 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) 1942401039
Entity Type Individual
Full Name DR. LONDA LEA FISCHER COSTELLO
Credential O.D.
Practice Address 13334 Bass Lake Rd
Maple Grove
MN 55311-4540
Practice Telephone 7634961625
Practice Fax Number 7634961071
Mailing Telephone (320) 212-0500
Enumeration Date 2007-05-29
Last Update Date 2018-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3085 MN Eye and Vision Services Providers

Office Location

Street Address 13334 BASS LAKE RD
City MAPLE GROVE
State MN
Zip Code 55311-4540

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609391374 Deborah Lynn Higgins Foster Care Agency 8288 Revelwood Place, Maple Grove, MN 55311 2017-08-03
1013457993 Trillium Chiropractic & Wellness Pa Chiropractor 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 2017-02-27
1720535263 Fischer Vision PC Optometrist 13334 Bass Lake Road North, Maple Grove, MN 55311 2016-09-01
1033571062 Iman Dadras Konestani Marriage & Family Therapist 9325 Garland Lane N Apt 108, Mapple Grove, MN 55311 2016-03-29
1902272685 Todd Archbold Social Worker 18153 80th Pl N, Maple Grove, MN 55311 2015-08-17
1144634395 Petersen Chiropractic Inc. Chiropractor 9505 Blackoaks Ln No., Maple Grove, MN 55311 2014-06-16
1972738276 Sara Jean Bidler Marriage & Family Therapist 7026 E Fish Lake Rd, Maple Grove, MN 55311 2009-05-16
1962670026 Helminger Chiropractic, P.a. Chiropractor 9479 Garland Lane North, Maple Grove, MN 55311 2008-02-12
1457579450 Cynthia C Cassel Physician Assistant 6300 Wedgewood Way, Maple Grove, MN 55311 2007-04-23
1386860732 Thomas Triden Chiropractor 7494 East Fish Lake Road, Maple Grove, MN 55311 2007-04-17
Find all providers in zip 55311

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
1265924088 Emily Boss Optometrist 7767 Elm Creek Blvd N Ste 140, Maple Grove, MN 55369-7066 2018-06-06
1609397116 Chuatong Thao Optometrist 11651 Fountains Dr Ste A-104, Maple Grove, MN 55369-7195 2017-07-06
1720535263 Fischer Vision PC Optometrist 13334 Bass Lake Road North, Maple Grove, MN 55311 2016-09-01
1164861357 Optometric Eye Care Centers, Pa Optometrist 7880 Main St N, Maple Grove, MN 55369-7081 2013-06-20
1497057871 North Star Eye Associates Optometrist 7767 Elm Creek Blvd N, Ste 140, Maple Grove, MN 55369-7041 2010-11-17
1659556264 G.r. Thomas Jr Od Pa Optometrist 7880 Mainstreet, Maple Grove, MN 55369-7081 2008-01-02
1245374115 Michael V Dieter Optometrist 12000 Elm Creek Blvd N Ste L90, Maple Grove, MN 55369-7168 2007-02-16
1396896155 Daniel Lee Whited Optometrist 12131 Elm Creek Blvd N, Maple Grove, MN 55369-7093 2007-01-16
1063561066 Renee M Ritzer Optometrist 13195 Weaver Lake Road, Maple Grove, MN 55369 2007-01-09
1215091749 Mark Korthals Optometrist 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 2006-12-20
Find all providers in MAPLE GROVE

Competitor

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City MAPLE GROVE
Zip Code 55311

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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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