EDINA EYE PHYSICIANS AND SURGEONS PA (NPI# 1114124971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114124971 |
| Entity Type | Organization |
| Organization Name | EDINA EYE PHYSICIANS AND SURGEONS PA |
| Practice Address |
11855 Ulysses St Suite 140 Blaine MN 55434 |
| Mailing Address |
3777 Coon Rapids Blvd Nw Ste 100 Coon Rapids MN 55433-2630 |
| Practice Telephone | 7634217420 |
| Practice Fax Number | 7634210730 |
| Mailing Telephone | 7634217420 |
| Mailing Fax Number | 7634210730 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | DELTA JORGENSEN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7635928413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710078738 | Edina Eye Physicians and Surgeons Pa | Optometrist | 209 Chalupsky Ave Se, New Prague, MN 56071-2448 | 2006-09-27 |
| 1740382274 | Edina Eye Physicians and Surgeons Pa | Optometrist | 4201 Dean Lakes Blvd, Suite 100, Shakopee, MN 55379-2829 | 2006-09-04 |
| 1972950814 | Edina Eye Physicians and Surgeons Pa | Ophthalmology | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2016-05-20 |
| 1407903248 | Edina Eye Physicians and Surgeons Pa | Clinic/Center | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2007-01-04 |
| 1184715104 | Edina Eye Physicians and Surgeons Pa | Optometrist | 14050 Nicollet Ave, Suite 101, Burnsville, MN 55337-5710 | 2006-09-27 |
| 1629169644 | Edina Eye Physicians and Surgeons Pa | Optometrist | 111 Hundertmark Rd, Suite 105n, Chaska, MN 55318-4551 | 2006-09-27 |
| 1518058536 | Edina Eye Physicians and Surgeons Pa | Optometrist | 290 Main St Nw, Elk River, MN 55330-1270 | 2006-09-27 |
| 1427149442 | Edina Eye Physicians and Surgeons Pa | Optometrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-09-27 |
| 1477644490 | Edina Eye Physicians and Surgeons Pa | Ophthalmology | 7450 France Ave S, Suite 100, Edina, MN 55435-4787 | 2006-09-27 |
| 1538264981 | Edina Eye Physicians and Surgeons Pa | Optometrist | 560 S Maple St, Suite110, Waconia, MN 55387-1763 | 2006-09-13 |
| Street Address |
11855 ULYSSES ST SUITE 140 |
| City | BLAINE |
| State | MN |
| Zip Code | 55434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306042817 | North Suburban Optical | Eyewear Supplier (Equipment, not the service) | 11855 Ulysses St, Suite 140, Blaine, MN 55434 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1033770714 | Enduring Home Health Care Corp | Home Health | 10812 Fillmore Street, Blaine, MN 55434 | 2019-06-24 |
| 1932762408 | Vital Agency LLC | In Home Supportive Care | 12864 Fillmore Street Ne, Blaine, MN 55434 | 2019-04-19 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1598253445 | Jacob James Apland | Behavioral Analyst | 12401 Oak Park Blvd Ne Apt 316, Blaine, MN 55434 | 2018-04-26 |
| 1962921924 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1005 Paul Parkway Ne, Blaine, MN 55434 | 2017-09-11 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
| 1629591334 | Minnehaha Transportation Inc | Non-emergency Medical Transport (VAN) | 2507 Walnut St, Roseville, MN 55434 | 2017-07-25 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1962939546 | Nicolette Gengel | Dentist | 1384 109th Ave Ne Ste 200, Blaine, MN 55434 | 2017-05-15 |
| Find all providers in zip 55434 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861825093 | Active Feet, Foot & Ankle Health Center | Clinic/Center | 10995 Club West Pkwy Ste 300, Blaine, MN 55449-5861 | 2013-08-12 |
| 1225158520 | Fridley Children's and Teenagers' Medical Center | Clinic/Center | 11107 Ulysses St Ne Ste 100, Blaine, MN 55434-4184 | 2007-03-30 |
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| 1922576081 | Complex Cares LLC | Clinic/Center | 4700 Lexington Ave N Ste C, Shoreview, MN 55126-5964 | 2018-11-07 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1992196307 | Austin Orthopedics & Sports Medicine | Clinic/Center | 14051 Burnhaven Dr Ste 100, Burnsville, MN 55337-4400 | 2015-02-08 |
| 1831599430 | Medifit Health, LLC | Clinic/Center | 9201 Quaday Ave Ne Ste 203, Otsego, MN 55330-6604 | 2014-09-02 |
| 1437567609 | Aligned Chiropractic Pa | Clinic/Center | 3408 E Lake St, Suite 120, Minneapolis, MN 55406-2175 | 2014-07-31 |
| 1316369911 | New Leaf Medical, Pllc | Clinic/Center | 3622 County Road 101 S, Wayzata, MN 55391-3424 | 2014-01-16 |
| 1841538808 | White Dandelion Chinese Medicine L.L.C. | Clinic/Center | 108 3rd St E, Northfield, MN 55057-2050 | 2013-01-27 |
| 1831409234 | Princeton Chiropractic Clinic LLC | Clinic/Center | 501 4th St S Ste 101, Princeton, MN 55371-4754 | 2010-10-19 |
| 1629252101 | Paula Allenburg, Ltd | Clinic/Center | 2415 Emerson Ave S, Minneapolis, MN 55405-2602 | 2007-12-20 |
| 1851516397 | Skin Care Doctors, P.a. | Clinic/Center | 14000 Nicollet Ave Ste 304, Burnsville, MN 55337-5784 | 2007-04-17 |
| 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.