DR. GLENN ORVILLE KALLEVIG (NPI# 1174688725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174688725 |
| Entity Type | Individual |
| Full Name | DR. GLENN ORVILLE KALLEVIG |
| Credential | O.D. |
| Practice Address |
101 S Rum River Dr Princeton MN 55371-1815 |
| Mailing Address |
14940 47th St Ne Foley MN 56329-4621 |
| Practice Telephone | 7633899000 |
| Mailing Telephone | 3209688091 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2359 | MN | Eye and Vision Services Providers |
| Street Address |
101 S RUM RIVER DR |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| 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 |
|---|---|---|---|---|
| 1083270359 | Spencer Lin | Optometrist | 3535 Us Highway 1 Ste 416, Princeton, NJ 08540-5974 | 2019-05-13 |
| 1790271211 | Misty Lane | Optometrist | 324 Oakvale Rd Ste 100, Princeton, WV 24740-3829 | 2018-07-09 |
| 1245682608 | Kenneth Cole | Optometrist | 310 Locust St # 6, Princeton, WV 24740-3625 | 2016-07-11 |
| 1144675760 | Deseye, LLC | Optometrist | 701 West Princeton Dr, Princeton, TX 75407 | 2016-05-02 |
| 1093158404 | Eyestat Optometric Services, P.a. | Optometrist | 720 Pondfield Rd, Princeton, NC 27569 | 2013-04-16 |
| 1548551336 | Appalachian Eye Care Inc | Optometrist | 324 Oakvale Rd, Suite 100, Princeton, WV 24740-3915 | 2011-04-27 |
| 1023279742 | Princeton Eye Center | Optometrist | 2024 Sherman Dr, Princeton, IN 47670-1045 | 2008-06-25 |
| 1578756631 | Appalachian Eye Care | Optometrist | 700 Oakvale Rd, Princeton, WV 24740-3915 | 2007-08-22 |
| 1992925176 | Berlin Family Eye Care Sc | Optometrist | 100b E. Main St, Princeton, WI 54968 | 2007-04-27 |
| 1770623548 | Harin Rajeev | Optometrist | 3535 Route 1 S, Suite 416, Princeton, NJ 08540-5903 | 2007-02-08 |
| Find all providers in PRINCETON | ||||
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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.