DR. JULIE M BLENKER (NPI# 1043265267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043265267 |
| Entity Type | Individual |
| Full Name | DR. JULIE M BLENKER |
| Credential | O.D. |
| Practice Address |
8450 University Ave Ne Fridley MN 55432-1164 |
| Mailing Address |
7078 Martin Farms Ave Ne Otsego MN 55330-5099 |
| Practice Telephone | 7637809553 |
| Mailing Telephone | 7632920101 |
| Mailing Fax Number | 6351566327 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2573 | MN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2652-035 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38619800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15800 87th St Ne, Otsego, MN 553306546 | 7634413331 | 7634413332 |
| Street Address |
8450 UNIVERSITY AVE NE |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373548 | Chad Baldner | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2020-10-13 |
| 1902404817 | James Edwin Klussman | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2020-10-13 |
| 1235689258 | Brian Kurt | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2016-10-13 |
| 1578018842 | Payeng Vue | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2016-08-16 |
| 1508217332 | Blenker Eye Care Pllc | Optometrist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2016-06-22 |
| 1114000809 | Wal-mart Stores, Inc. | Technician/Technologist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2006-10-24 |
| 1104914183 | Carol Elizabeth Mcmanman | Optometrist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2006-10-11 |
| 1083631469 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| 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 |
|---|---|---|---|---|
| 1720130875 | Associates In Eye Care Ltd | Optometrist | 6299 University Ave Ne, Fridley, MN 55432-4918 | 2007-01-17 |
| 1720046170 | Tina Marie Mccarty | Optometrist | 1202 Moore Lake Dr E, Fridley, MN 55432-5170 | 2006-05-03 |
| 1538160064 | Norman Paul Reznicow | Optometrist | 7362 University Ave Ne, Fridley, MN 55432-3151 | 2005-08-09 |
| 1912520198 | Katelyn J Mcdevitt | Optometrist | 1202 Moore Lake Dr E, Fridley, MN 55432-5170 | 2020-05-22 |
| 1053841569 | Steven Alex Rizzi | Optometrist | 6341 University Ave Ne, Fridley, MN 55432 | 2017-06-16 |
| 1588190961 | Lg Vision Services LLC | Optometrist | 8150 University Ave Ne, Fridley, MN 55432-1864 | 2017-05-04 |
| 1508217332 | Blenker Eye Care Pllc | Optometrist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2016-06-22 |
| 1861646937 | Jordan Frederick Keith | Optometrist | 1202 Moore Lake Dr E, Fridley, MN 55432-5170 | 2008-11-15 |
| 1578755088 | Chad Michael Legois | Optometrist | 755 53rd Ave Ne, Fridley, MN 55421-1240 | 2007-08-17 |
| 1104914183 | Carol Elizabeth Mcmanman | Optometrist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2006-10-11 |
| Find all providers in FRIDLEY | ||||
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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.