Sarah R Board (NPI# 1407205610, PAC ID# 4385924059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1407205610 |
| PAC ID by PECOS | 4385924059 |
| Professional Enrollment ID | I20161215000955 |
| Full Name | Sarah R Board |
| Organization Legal Name | MINNESOTA OPTICAL LLC |
| Address |
19576 Holt St Nw Elk River MN 55330-1287 |
| Phone Number | 7632412083 |
| Gender | F |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2010 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1557528841 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19576 Holt St Nw, Elk River, MN 55330-1287 | 7632412083 | MINNESOTA OPTICAL LLC |
| Organization Legal Name | MINNESOTA OPTICAL LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Shlafer | Optometry | Minnesota Optical LLC | 3333 Hazelton Rd, Edina, MN 55435-4204 |
| Elizabeth M Mosley | Optometry | Minnesota Optical LLC | 3333 Hazelton Rd, Edina, MN 55435-4204 |
| Robert A Mattioli | Optometry | Minnesota Optical LLC | 3333 Hazelton Rd, Edina, MN 55435-4204 |
| Michael D Hanson | Optometry | Minnesota Optical LLC | 3333 Hazelton Rd, Edina, MN 55435-4204 |
| Quy T Tran | Optometry | Minnesota Optical LLC | 19576 Holt St Nw, Elk River, MN 55330-1287 |
| Kylie H Jacobsen | Optometry | Minnesota Optical LLC | 19576 Holt St Nw, Elk River, MN 55330-1287 |
| Yewande Olateju Olagoke | Optometry | Minnesota Optical LLC | 3333 Hazelton Rd, Edina, MN 55435-4204 |
| Erika C Januschka | Optometry | Minnesota Optical LLC | 19576 Holt St Nw, Elk River, MN 55330-1287 |
| Street Address |
19576 HOLT ST NW |
| City | ELK RIVER |
| State | MN |
| Zip | 55330-1287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quy T Tran | Optometry | Minnesota Optical LLC | 19576 Holt St Nw, Elk River, MN 55330-1287 |
| Kylie H Jacobsen | Optometry | Minnesota Optical LLC | 19576 Holt St Nw, Elk River, MN 55330-1287 |
| Erika C Januschka | Optometry | Minnesota Optical LLC | 19576 Holt St Nw, Elk River, MN 55330-1287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy A Lundgren | Physician Assistant | Fairview Express Care | 19425 Evans St Nw, Elk River, MN 55330-1074 |
| Daniel G Moore | Chiropractic | Bodywise Chiropractic Center | 19260 Evans St Nw, Elk River, MN 55330-1076 |
| Christopher J Slice | Chiropractic | Bodywise Chiropractic Center | 19260 Evans St Nw, Elk River, MN 55330-1076 |
| Sarah H Bolcer | Podiatry | 19230 Evans St Nw, Suite 109, Elk River, MN 55330-1079 | |
| Megan J Schoeberl | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Elizabeth J Mclean | Nurse Practitioner | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Lori J Marx | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Kelly M Vevea | Nurse Practitioner | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Joshua D Miller | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Scott E Runde | Podiatry | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Find all physicians in zip 55330 | |||
| City | ELK RIVER |
| Zip Code | 55330 |
| Specialty | OPTOMETRY |
| City + Specialty | ELK RIVER + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.