Mark C Lobanoff (NPI# 1205870045, PAC ID# 6507825437) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1205870045 |
| PAC ID by PECOS | 6507825437 |
| Professional Enrollment ID | I20041210000165 |
| Full Name | Mark C Lobanoff |
| Organization Legal Name | EDINA EYE PHYSICIANS AND SURGEONS PA |
| Address |
4520 Centerville Rd Saint Paul MN 55127-3602 |
| Phone Number | 7634217420 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1355382698 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11855 Ulysses St Ne, Suite 140, Blaine, MN 55434-4178 | 7634217420 | EDINA EYE PHYSICIANS AND SURGEONS PA |
| 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2630 | 7634217420 | EDINA EYE PHYSICIANS AND SURGEONS PA |
| 7450 France Ave S, Suite 100, Edina, MN 55435-4799 | 9528328100 | EDINA EYE PHYSICIANS AND SURGEONS PA |
| 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 7634217420 | EDINA EYE PHYSICIANS AND SURGEONS PA |
| Organization Legal Name | EDINA EYE PHYSICIANS AND SURGEONS PA |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul C Hammond | Optometry | Edina Eye Physicians and Surgeons Pa | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2630 |
| Eugene O Gullingsrud | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 7450 France Ave S, Suite 100, Edina, MN 55435-4799 |
| Scott T Schaefer | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 14050 Nicollet Ave S, Suite 101, Burnsville, MN 55337-5737 |
| Bridget Axelson | Optometry | Edina Eye Physicians and Surgeons Pa | 4520 Centerville Rd, Saint Paul, MN 55127-3602 |
| George R Wandling Jr. | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 4520 Centerville Rd, Saint Paul, MN 55127-3602 |
| Saiyid J Hasan | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 7450 France Ave S, Suite 100, Edina, MN 55435-4799 |
| Carter J Nichols | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 7450 France Ave S, Suite 100, Edina, MN 55435-4799 |
| Suzanne R Viggiano | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 7450 France Ave S, Suite 100, Edina, MN 55435-4799 |
| Phillip M Radke | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 7450 France Ave S, Suite 100, Edina, MN 55435-4799 |
| John Patrick Oneill | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 14050 Nicollet Ave S, Suite 101, Burnsville, MN 55337-5737 |
| Street Address |
4520 CENTERVILLE RD |
| City | SAINT PAUL |
| State | MN |
| Zip | 55127-3602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bridget Axelson | Optometry | Edina Eye Physicians and Surgeons Pa | 4520 Centerville Rd, Saint Paul, MN 55127-3602 |
| George R Wandling Jr. | Ophthalmology | Edina Eye Physicians and Surgeons Pa | 4520 Centerville Rd, Saint Paul, MN 55127-3602 |
| Timothy A Eggimann | Optometry | Edina Eye Physicians and Surgeons Pa | 4520 Centerville Rd, Saint Paul, MN 55127-3602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne M Pearson | Family Medicine | Healtheast Medical Research Institute | 480 Hwy 96 E, Vadnais Heights, MN 55127-2557 |
| Kenneth Worlanyo Wutoh | Physical Therapy | Novacare Outpatient Rehabilitation East Inc | 480 Hwy 96 E, Suite 120, Vadnais Heights, MN 55127-2557 |
| Kristel A St Ores | Nurse Practitioner | Healtheast Medical Research Institute | 480 Hwy 96 E, Vadnais Heights, MN 55127-2557 |
| Emily Ann Yee | Physical Therapy | Novacare Outpatient Rehabilitation East Inc | 480 Hwy 96 E, Suite 120, Vadnais Heights, MN 55127-2557 |
| Christopher J Shearen | Maxillofacial Surgery | Andreasen Kent Gadient and Associates PC | 700 Village Ctr Dr, Suite 170, North Oaks, MN 55127-3025 |
| Diane E Bauer | Clinical Social Worker | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Leanne M Mairs | Clinical Social Worker | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| James S Anthony | Psychologist, Clinical | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Mary F Williams | Psychologist, Clinical | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Sue A Dallman | Clinical Social Worker | Centerlife Counseling LLC | 4444 Centerville Rd, Suite 235, Saint Paul, MN 55127-3712 |
| Find all physicians in zip 55127 | |||
| City | SAINT PAUL |
| Zip Code | 55127 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SAINT PAUL + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Mark C Lobanoff.
| 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.