GREGORY MICHAEL FALK (NPI# 1124139886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124139886 |
| Entity Type | Individual |
| Full Name | GREGORY MICHAEL FALK |
| Credential | O.D. |
| Practice Address |
10240 Hudson Rd Wal-mart Vision Center Woodbury MN 55129-9111 |
| Mailing Address |
1593 Headwaters Ln Woodbury MN 55129-6233 |
| Practice Telephone | 6517355196 |
| Practice Fax Number | 6517355198 |
| Mailing Telephone | 6513370374 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2856 | MN | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1850 Buerkle Rd, White Bear Lake, MN 551105245 | 6517799346 | |
| 5815 Norell Ave N, Oak Park Heights, MN 550821766 | 6513513976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144377433 | Gregory Alan Falk | Family Medicine | 115 Sw Pine, Canyonville, OR 97417-0198 | 2007-01-05 |
| Street Address |
10240 HUDSON RD WAL-MART VISION CENTER |
| City | WOODBURY |
| State | MN |
| Zip Code | 55129-9111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528085925 | Walmart Inc. | Pharmacy | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2006-07-16 |
| 1083213250 | Carrie Leske | Pharmacist | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2020-10-20 |
| 1487253712 | Rachel Lynn Fisk | Pharmacist | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2020-10-19 |
| 1255939294 | Chelsy Lee Hall | Pharmacist | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2020-10-13 |
| 1518418722 | Vilayrath Sanavongsay | Pharmacist | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2016-10-23 |
| 1871727875 | Falk Optometric Group, Inc. | Optometrist | 10240 Hudson Rd, Woodbury, MN 55129 | 2009-05-06 |
| 1093897548 | Wal-mart Stores, Inc. | Technician/Technologist | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770006983 | Logan Thompson | Chiropractor | 10631 Pond Curve, Woodbury, MN 55129 | 2017-07-19 |
| 1942650619 | The Hendricks Group Inc. | Assisted Living Facility | 10025 Antrim Court, Woodbury, MN 55129 | 2016-06-14 |
| 1235588468 | Nathan Robert Mayernik | Physical Therapist | 4123 Radio Dr, Suite 100, Woodbury, MN 55129 | 2016-06-08 |
| 1699146035 | St. Therese of Woodbury, LLC | Skilled Nursing Facility | 7555 Bailey Road, Woodbury, MN 55129 | 2015-10-12 |
| 1548602865 | Monica Bajracharya | Internal Medicine | 9373 Compass Pointe Rd, Woodbury, MN 55129 | 2013-07-28 |
| 1730454752 | Amanda E Feeney | Physical Therapist | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2012-03-09 |
| 1104193762 | Minneapolis-st.paul Endodontics | Dentist | 10150 City Walk Dr Ste C, Woodbury, MN 55129 | 2011-11-28 |
| 1659502417 | Charles Goff Jr. | Marriage & Family Therapist | 1919 University Ave W Suite 200, St. Paul, MN 55129 | 2009-07-28 |
| 1497821391 | Kyle Riley Edlund | Dentist | 3060 Woodbury Drive, #b, Woodbury, MN 55129 | 2006-11-24 |
| 1902979206 | Robert Edgar Eng | Dentist | 3100 Woodbury Drive, Woodbury, MN 55129 | 2006-11-16 |
| Find all providers in zip 55129 | ||||
| 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 |
|---|---|---|---|---|
| 1083266126 | Heather Jackson | Optometrist | 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 | 2019-07-09 |
| 1770886285 | Sunny Nguyen | Optometrist | 318 Syosset Woodbury Rd, Woodbury, NY 11797-1215 | 2010-12-06 |
| 1487962478 | Marta Bakouris | Optometrist | 9965 Hudson Pl, Woodbury, MN 55125-9401 | 2010-09-23 |
| 1093948259 | Ryan Daniel Johnson | Optometrist | 8362 Tamarack Village, Rm 108, Woodbury, MN 55125-3392 | 2009-09-03 |
| 1790994382 | Filomena Agnes Rosano Fiore | Optometrist | 7933 Jericho Tpke, Woodbury, NY 11797-1210 | 2007-05-21 |
| 1568516953 | Horner Family Eyecare, Inc. | Optometrist | 8360 City Centre Drive, #140, Woodbury, MN 55125 | 2007-01-22 |
| 1184774614 | Marcus Donn Morben | Optometrist | 8362 Tamarack Vlg, #108, Woodbury, MN 55125-3392 | 2007-01-10 |
| 1356405153 | Dale Stein and Associates, O.d.,p.c. | Optometrist | 1750 Clements Bridge Rd, 2e5b Deptford Mall, Woodbury, NJ 08096-2010 | 2006-12-19 |
| 1134291487 | James Brekke | Optometrist | 7150 Valley Creek Plz, Suite 216, Woodbury, MN 55125-2271 | 2006-11-14 |
| 1083792097 | David Bertin Ness | Optometrist | 7150 Valley Creek Plz Ste 216, Woodbury, MN 55125-2271 | 2006-11-01 |
| Find all providers in WOODBURY | ||||
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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.