DR. DAVID ANDREW SPANDE (NPI# 1124436464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124436464 |
| Entity Type | Individual |
| Full Name | DR. DAVID ANDREW SPANDE |
| Credential | O.D. |
| Practice Address |
1300 University Ave W Optical Clinic Saint Paul MN 55104-4103 |
| Practice Telephone | 6516416181 |
| Practice Fax Number | 6516463292 |
| Mailing Telephone | 6516416181 |
| Mailing Fax Number | 6516463292 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPC4881 | FL | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 3360 | MN | Eye and Vision Services Providers |
| Street Address |
1300 UNIVERSITY AVE W OPTICAL CLINIC |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962424648 | Grand St Paul Cvs LLC | Pharmacy | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2006-07-24 |
| 1649786138 | Ikechukwu Okechukwu | Nurse Practitioner | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2017-12-19 |
| 1356719918 | Jeena Lee | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2015-09-11 |
| 1861881625 | Stephanie Marie Weinberger | Psychiatry & Neurology | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2015-01-16 |
| 1447648506 | Target Clinic | Nurse Practitioner | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2014-12-24 |
| 1245659903 | Tara Marie Olson | Nurse Practitioner | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2014-04-09 |
| 1497027825 | Nicholas Maddux | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2012-02-01 |
| 1760779649 | Trenton William Srstka | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2011-06-29 |
| 1336434794 | Tara Jean Tindall | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| 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 |
|---|---|---|---|---|
| 1699399592 | Nicole Rene Schmiedt | Optometrist | 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 | 2020-06-05 |
| 1982247870 | Lauren K Haverly LLC | Optometrist | 272 Snelling Ave S Ste 300, Saint Paul, MN 55105-2045 | 2019-10-23 |
| 1124506852 | Amanda Mcmullen | Optometrist | 2716 Lincoln Dr, Saint Paul, MN 55113-1333 | 2018-08-03 |
| 1306218995 | Village Eye Care LLC | Optometrist | 1001 Johnson Pkwy Ste B15, Saint Paul, MN 55106-3696 | 2015-10-22 |
| 1326488008 | Matthew K Anderson | Optometrist | 506 7th St W, Saint Paul, MN 55102 | 2013-06-26 |
| 1518232149 | Solomon M Gould | Optometrist | 1995 Burns Ave Ste B, Saint Paul, MN 55119-4906 | 2012-03-15 |
| 1912224767 | The Spectacle Shoppe Inc | Optometrist | 1089 Grand Ave, Saint Paul, MN 55105-3002 | 2010-05-03 |
| 1740515832 | Gaile Kristine Philipp | Optometrist | 3001 White Bear Ave N Ste 1050, Saint Paul, MN 55109-1283 | 2009-10-07 |
| 1982769501 | Calvin Optometry Pllc | Optometrist | 1995 Burns Ave., Suite B, Saint Paul, MN 55119-4906 | 2006-12-26 |
| 1194884635 | Troy E Randgaard | Optometrist | 2034 Ford Pkwy, Saint Paul, MN 55116-1931 | 2006-12-08 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.