RENE L. ROYAL (NPI# 1093823122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093823122 |
| Entity Type | Individual |
| Full Name | RENE L. ROYAL |
| Credential | O.D. |
| Practice Address |
10000 Zane Ave N Brooklyn Park MN 55443-1400 |
| Practice Telephone | 7635725710 |
| Practice Fax Number | 7635696200 |
| Mailing Telephone | 7635696250 |
| Mailing Fax Number | 7635696217 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2012-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2498 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 2200685 | 01 |
| MN | HEALTHPARTNERS | HP30733 | 01 |
| MN | AMERICA'S PPO | 1014767 | 01 |
| MN | UCARE MN | 127812 | 01 |
| MN | PREFERRED ONE | 1024532 | 01 |
| MN | 057217900 | 05 | |
| MN | AETNA INS | 5857755 | 01 |
| MN | BCBS OF MN | 87D48RO | 01 |
| Street Address |
10000 ZANE AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457330656 | Arvin Mangasi Vocal | Internal Medicine | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2006-01-16 |
| 1023548559 | Hilary G Wilde | Dietitian, Registered | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2017-06-18 |
| 1760928683 | Michelle Justen | Social Worker | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2017-01-17 |
| 1205389798 | Brianna Koopman | Registered Nurse | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2016-08-01 |
| 1356749907 | Rebecca Rathjen | Social Worker | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2014-12-15 |
| 1689080566 | Abass Ahmed Basha | Physician Assistant | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2014-07-11 |
| 1235419326 | Katerina O. Belousova | Physician Assistant | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2011-08-22 |
| 1629357918 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2011-08-04 |
| 1780973610 | Fairview Express Care | Clinic/Center | 10000 Zane Ave N, Ste 202, Brooklyn Park, MN 55443-1400 | 2011-03-31 |
| 1437469350 | Fairview Health Services | Clinic/Center | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2010-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| 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 |
|---|---|---|---|---|
| 1770115636 | Brooklyn Eye Care LLC | Optometrist | 9670 Colorado Ln N, Brooklyn Park, MN 55445-2385 | 2020-02-10 |
| 1336231588 | Stephen Joseph Shirola | Optometrist | 6268 Boone Ave North, Brooklyn Park, MN 55428 | 2006-09-28 |
| 1548467343 | Holly Marie Bieda | Optometrist | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2007-06-27 |
| 1487715124 | Laura L Larson | Optometrist | 8000 Lakeland Ave N, Brooklyn Park, MN 55445-2403 | 2006-12-13 |
| 1326116344 | Josan Wai-tak Ko | Optometrist | 8500 Edinbrook Pkwy, Suite G, Brooklyn Park, MN 55443-3720 | 2006-11-30 |
| 1265535058 | Peter James Heinen | Optometrist | 8000 Lakeland Ave N, Walmart Vision Center, Brooklyn Park, MN 55445 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615069 | Eagan Eye Clinic LLC | Optometrist | 12390 Sherburne Ave, Becker, MN 55308-9147 | 2020-10-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
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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.