WEST METRO OPHTHALMOLOGY, PA (NPI# 1952442790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952442790 |
| Entity Type | Organization |
| Organization Name | WEST METRO OPHTHALMOLOGY, PA |
| Practice Address |
1700 Highway 25 N Buffalo MN 55313-1930 |
| Practice Telephone | 7636829241 |
| Mailing Telephone | 7636829241 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-03-14 |
| Authorized Official Name | STEVEN J GROSSER (PARTNER) |
| Authorized Official Telephone | 7635468422 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | CS8149 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760523518 | West Metro Ophthalmology, Pa | Ophthalmology | 504 Pine Street (hwy 25), Monticello, MN 55362-8304 | 2007-02-12 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| Street Address |
1700 HIGHWAY 25 N |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337978 | Charles Michael Yancey | Ophthalmology | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2005-06-27 |
| 1780236943 | Jenna Katnis | Physician Assistant | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2019-07-09 |
| 1124503644 | Patrick Kevin Hayden | Physician Assistant | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2018-10-01 |
| 1124538756 | Lauren Lynn Ducklow | Physician Assistant | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2017-10-10 |
| 1770032773 | Kathryn Smith | Nurse Practitioner | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2016-10-02 |
| 1558717587 | Beth Brinkman | Family Medicine | 1700 Highway 25 N, Buffalo, MN 55313 | 2016-05-09 |
| 1376929968 | Kristina M Kessler | Physician Assistant | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2015-08-05 |
| 1952791139 | Emalie Scott | Physician Assistant | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2015-01-27 |
| 1699174508 | Amanda Rose Zehrer | Obstetrics & Gynecology | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2014-08-15 |
| 1073927869 | Jessica Lynn Mann | Optometrist | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2014-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
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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 |
|---|---|---|---|---|
| 1144334053 | Theodore P Prawak | Ophthalmology | 1320 Walden Ave, Buffalo, NY 14211-2822 | 2006-08-18 |
| 1437177425 | Dilip J. Patel | Ophthalmology | 65 Wehrle Dr, Buffalo, NY 14225-1021 | 2006-07-17 |
| 1245282524 | Melissa Ada Louise Neal | Ophthalmology | 410 Elmwood Ave, Lower Floor, Buffalo, NY 14222-2210 | 2006-05-16 |
| 1013981836 | Saralyn Notaro-rietz | Ophthalmology | 4476 Main St, Buffalo, NY 14226-4463 | 2006-02-16 |
| 1093792483 | Sangita P Patel | Ophthalmology | 1176 Main St, Buffalo, NY 14209 | 2005-12-27 |
| 1548254840 | David Jeffrey Rodman | Ophthalmology | 85 High St, Buffalo, NY 14203-1149 | 2005-09-01 |
| 1477554566 | George W Pfohl | Ophthalmology | 932 Elmwood Ave, Buffalo, NY 14222-1212 | 2005-08-10 |
| 1255337978 | Charles Michael Yancey | Ophthalmology | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2005-06-27 |
| 1497284731 | Mostafa Mohamed Ezzat Hamza A Mazen | Ophthalmology | 1176 Main St, Buffalo, NY 14209-2102 | 2017-06-09 |
| 1609202027 | Hongjie Ma | Ophthalmology | 3435 Main St, Farber Hall 301, Buffalo, NY 14214-3001 | 2013-09-17 |
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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.