UNIVERSITY OF MINNESOTA DEPARTMENT OF OPHTHALMOLOGY (NPI# 1013244276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013244276 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MINNESOTA DEPARTMENT OF OPHTHALMOLOGY |
| Practice Address |
516 Delaware St Se Department of Ophthalmology Minneapolis MN 55455-0356 |
| Practice Telephone | 6126254400 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |
| Authorized Official Name | DR. JAY KRACHMER (CHAIRMAN) |
| Authorized Official Telephone | 6126254400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
MN | Ambulatory Health Care Facilities |
| Street Address |
516 DELAWARE ST SE DEPARTMENT OF OPHTHALMOLOGY |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990060 | Anthony J Santiago | Psychiatry & Neurology | 516 Delaware St Se, Clinic 1a, Minneapolis, MN 55455-0356 | 2005-08-24 |
| 1225592249 | Thomas Bukowski | Registered Nurse | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2019-01-23 |
| 1407344278 | Hooi Pin Chew | Dentist | 516 Delaware St Se, 7th Floor Pwb, Minneapolis, MN 55455-0356 | 2018-04-27 |
| 1093223786 | Mai E Lor | Technician/Technologist | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2018-01-16 |
| 1063866820 | Kelsey Noah | Occupational Therapist | 516 Delaware St Se, Mmc106, Minneapolis, MN 55455-0356 | 2016-04-19 |
| 1467811125 | Kristin Schneller | Occupational Therapist | 516 Delaware St Se, Mmc106, Minneapolis, MN 55455-0356 | 2016-02-23 |
| 1013382472 | Brooke Kaney | Social Worker | 516 Delaware St Se, Clinic 1c, Minneapolis, MN 55455-0356 | 2015-12-09 |
| 1447632682 | Christian Larson | Optometrist | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2015-06-24 |
| 1770970485 | Sarah Maki | Internal Medicine | 516 Delaware St Se, Minneapolis, MN 55455 | 2015-04-20 |
| 1235525627 | Shanon Renee Harper | Nurse Practitioner | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2015-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073020681 | Eyeswear | Clinic/Center | 720 W Lake St # 107, Minneapolis, MN 55408-2963 | 2018-01-04 |
| 1245629369 | Eyecare Mpls Pllc | Clinic/Center | 3033 Excelsior Blvd, Suite 205, Minneapolis, MN 55416-4688 | 2015-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801068853 | Metropolitan Eye Care Specialists, P.a. | Clinic/Center | 150 E Travelers Trl, Suite D, Burnsville, MN 55337-6889 | 2008-03-31 |
| 1043760119 | The Total Vision Institute LLC | Clinic/Center | 7415 Wayzata Blvd, St Louis Park, MN 55426-1607 | 2016-10-12 |
| 1508312554 | The Cataract Vision Institute LLC | Clinic/Center | 3209 W 76th St, Suite 300, Edina, MN 55435-5246 | 2016-08-30 |
| 1154633253 | Weis Eye Center | Clinic/Center | 4815 W Arrowhead Rd, Suite 120, Hermantown, MN 55811-4004 | 2010-07-06 |
| 1083885081 | Chu Surgery Center, LLC | Clinic/Center | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2008-03-18 |
| 1992841076 | Columbus Eye Associates, Inc | Clinic/Center | 3300 Edinborough Way, Suite 412, Edina, MN 55435-5923 | 2007-01-29 |
| 1437202967 | Regional Eye Surgery Center, Inc. | Clinic/Center | 1455 Montreal St Se, Hutchinson, MN 55350 | 2007-01-19 |
| 1720173651 | St Paul Eye Clinic Pa | Clinic/Center | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2006-10-04 |
| 1649379132 | Conrad Eye Services, Plc | Clinic/Center | 200 Village Center Dr, Suite 300, North Oaks, MN 55127-7090 | 2006-09-21 |
| 1720059421 | Minnesota Eye Laser & Surgery Centers, LLC | Clinic/Center | 9801 Dupont Ave S, Suite 100, Bloomington, MN 55431-3100 | 2006-01-30 |
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| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on UNIVERSITY OF MINNESOTA DEPARTMENT OF OPHTHALMOLOGY.
| 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.