DR. DOUGLAS J CARLSON (NPI# 1952306243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952306243 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS J CARLSON |
| Credential | M.D. |
| Practice Address |
2950 Curve Crest Blvd W Stillwater MN 55082-5085 |
| Mailing Address |
1719 Tower Dr W Ste 100 Stillwater MN 55082-7512 |
| Practice Telephone | 6512753000 |
| Practice Fax Number | 6512753027 |
| Mailing Telephone | 6512753000 |
| Mailing Fax Number | 6512753027 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2014-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 21564 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 241590900 | 05 | |
| MN | RAILROAD MEDICARE | 180008787 | 01 |
| WI | RAILROAD MEDICARE | 180046280 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396707808 | Douglas Eugene Carlson | Family Medicine | 109 Pointer Trl W, Van Buren, AR 72956-2236 | 2006-04-03 |
| 1336294438 | Douglas L Carlson | Obstetrics & Gynecology | 8905 W Lincoln Ave, Suite # 515, West Allis, WI 53227-2468 | 2007-01-25 |
| 1669490132 | Douglas W Carlson | Pediatrics | 301 N 8th St, Suite Pav4a, Springfield, IL 62701-1041 | 2006-07-17 |
| Street Address |
2950 CURVE CREST BLVD W |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-5085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760886 | Evan A Ballard | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2005-06-15 |
| 1780243691 | Nicole Harris | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2019-06-13 |
| 1063908564 | Alexandra Mae Literski | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2018-07-09 |
| 1326577024 | Laura Capelle | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2017-06-06 |
| 1720439466 | Casey William Bateman | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2016-06-23 |
| 1598144099 | Sean Michael Lavallie | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2015-05-29 |
| 1285921924 | Brian J Tienor | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2011-07-01 |
| 1063704294 | Jesse Vislisel | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082 | 2011-05-05 |
| 1376657684 | Adam D Goddard | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2006-08-17 |
| 1891704953 | Associated Eye Care Optical LLC | Eyewear Supplier (Equipment, not the service) | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| 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 |
|---|---|---|---|---|
| 1043247463 | Stephen Roger Martin | Ophthalmology | 707 S Western Rd, Stillwater, OK 74074-4126 | 2006-06-28 |
| 1598760886 | Evan A Ballard | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2005-06-15 |
| 1881950335 | Matthew Flood | Ophthalmology | 707 S Western Rd, Stillwater, OK 74074-4126 | 2012-04-10 |
| 1285921924 | Brian J Tienor | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2011-07-01 |
| 1063704294 | Jesse Vislisel | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082 | 2011-05-05 |
| 1285898221 | Jeffrey Thomas Lynch | Ophthalmology | 2950 Curve Crest Blvd, Stillwater, MN 55082-5085 | 2008-07-17 |
| 1336211283 | Stillwater Eyecare Center, P.l.l.c. | Ophthalmology | 707 S Western Rd, Stillwater, OK 74074-4126 | 2006-11-15 |
| 1376657684 | Adam D Goddard | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2006-08-17 |
| 1649214560 | Jonathan Edward Drummond | Ophthalmology | 420 S Knoblock St, Stillwater, OK 74074-3024 | 2006-06-15 |
| 1881699197 | Associated Eye Care Ltd | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082 | 2005-06-15 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
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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.