EAGAN EYE CLINIC LLC (NPI# 1023615069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023615069 |
| Entity Type | Organization |
| Organization Name | EAGAN EYE CLINIC LLC |
| Practice Address |
12390 Sherburne Ave Becker MN 55308-9147 |
| Mailing Address |
211 E Broadway Alton IL 62002-6220 |
| Practice Telephone | 6324417007 |
| Mailing Telephone | 6184629818 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | BENJAMIN S. CHUDNER (PRESIDENT) |
| Authorized Official Telephone | 9723705552 |
| Authorized Official Credential | OD |
| Is Organization Subpart | Y |
| Parent Organization Name | EAGAN EYE CLINIC LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089700 | Eagan Eye Clinic LLC | Optometrist | 206 Division St, Waite Park, MN 56387-1331 | 2020-10-02 |
| 1548867567 | Eagan Eye Clinic LLC | Optometrist | 5809 Egan Dr, Savage, MN 55378-4918 | 2020-10-02 |
| 1194322131 | Eagan Eye Clinic LLC | Optometrist | 204 Washburne Ave, Paynesville, MN 56362-1643 | 2020-10-02 |
| 1528665544 | Eagan Eye Clinic LLC | Optometrist | 1545 Northway Dr Ste 120, Saint Cloud, MN 56303-1941 | 2020-10-02 |
| 1457958480 | Eagan Eye Clinic LLC | Optometrist | 103 Center Dr Ste 100, Buffalo, MN 55313-2958 | 2020-10-02 |
| 1477732337 | Eagan Eye Clinic LLC | Optometrist | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 | 2007-10-29 |
| Street Address |
12390 SHERBURNE AVE |
| City | BECKER |
| State | MN |
| Zip Code | 55308-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548523525 | Allison Erica Reid | Behavioral Analyst | 14385 Tyler Avenue, Becker, MN 55308 | 2012-06-24 |
| 1174737084 | Stephanie L Gruenes | Dentist | 13734 First Street, Becker, MN 55308 | 2007-05-09 |
| 1235252693 | Shepherd of Grace, LLC | Assisted Living Facility | 11175 27th Ave Se, Becker, MN 55308 | 2007-04-09 |
| 1386701407 | Sharon Ann Kuhlmann | Marriage & Family Therapist | 14068 Bank St, Box 114, Becker, MN 55308 | 2007-01-02 |
| 1366509317 | Got County of Sherburne Independent School District 726 | Local Education Agency (LEA) | 12000 Hancock St, Becker, MN 55308 | 2007-01-02 |
| 1053420315 | John Patrick Brennan | Chiropractor | 13754 1st Street Se, Suite #1, Becker, MN 55308 | 2006-08-30 |
| 1982064440 | Becker Spine Pa | Chiropractor | 13952 First Street, Becker, MN 55308 | 2016-02-26 |
| 1518171081 | Dr. Stephanie Gruenes Center for Cosmetic Dentistry Pa | Dentist | 13734 First Street, Becker, MN 55308 | 2007-05-10 |
| 1114074150 | Victoria L Fenstermacher | Nurse Practitioner | 12800 Rolling Ridge, Centracare Clinic Becker, Becker, MN 55308 | 2007-01-04 |
| 1710048590 | Centracare Clinic Becker | Durable Medical Equipment & Medical Supplies | 12800 Rolling Ridge, Centracare Clinic Becker, Becker, MN 55308 | 2006-12-13 |
| Find all providers in zip 55308 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998100 | Infinity Eye Care | Optometrist | 1275 Ramsey St Ste 700, Shakopee, MN 55379-3131 | 2020-09-29 |
| 1831700798 | Muychi Timothy Vang | Optometrist | 11217 Commerce Dr N, Champlin, MN 55316-3122 | 2020-08-13 |
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1699399592 | Nicole Rene Schmiedt | Optometrist | 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 | 2020-06-05 |
| 1700409885 | Russell N Osnes Od & Associates Pa | Optometrist | 1340 Duckwood Dr Ste 14, Eagan, MN 55123-2324 | 2020-05-22 |
| 1225657067 | Viginia Ho | Optometrist | 680 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-04-12 |
| 1992331359 | Megan Kaye Horter | Optometrist | 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 | 2020-03-18 |
| 1639704232 | Barton Eye Care LLC | Optometrist | 2306 S Broadway St Ste 12, Alexandria, MN 56308-1883 | 2020-03-04 |
| 1770115636 | Brooklyn Eye Care LLC | Optometrist | 9670 Colorado Ln N, Brooklyn Park, MN 55445-2385 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
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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.