DR. ROBERT EUGENE SWANSON (NPI# 1194790246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194790246 |
| Entity Type | Individual |
| Full Name | DR. ROBERT EUGENE SWANSON |
| Credential | O.D. |
| Practice Address |
560 S Maple St Suite 110 Waconia MN 55387-1733 |
| Mailing Address |
7450 France Ave S Suite 100 Edina MN 55435-5189 |
| Practice Telephone | 9524424445 |
| Practice Fax Number | 9524422455 |
| Mailing Telephone | 9528328100 |
| Mailing Fax Number | 9528328188 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2010-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1478 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE | 140002774 | 01 |
| MN | BCBS | 980D1SW | 01 |
| MN | 233823800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104947779 | Robert S Swanson | Chiropractor | 1230 Coast Village Cir Ste C, Santa Barbara, CA 93108-0711 | 2007-04-02 |
| 1902974165 | Robert E Swanson | Dentist | 6800 North Kings Hwy, Myrtle Beach, SC 29572 | 2006-12-04 |
| 1184794877 | Robert Swanson | Psychologist | 215 W Franklin St, Ste 204, Monterey, CA 93940-2700 | 2006-11-09 |
| 1811900384 | Robert Charles Swanson | Specialist | 1704 W North Five Mile Rd, Spokane, WA 99208-7112 | 2006-08-14 |
| 1841207339 | Robert J. Swanson | Psychologist | 1009 Mapleton Ave, Oak Park, IL 60302-1405 | 2006-08-01 |
| 1114969144 | Robert Gordon Swanson | Radiology | 6420 Clayton Rd., St. Mary's Health Center, St. Louis, MO 63117-1850 | 2006-06-12 |
| 1790302891 | Robert John Swanson IIi | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-07-06 |
| 1659995744 | Robert Swanson | Student in an Organized Health Care Education/Training Program | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-06-03 |
| 1710448634 | Robert Swanson | Student in an Organized Health Care Education/Training Program | 1431 Sw 1st Ave, Ocala, FL 34471-6500 | 2019-03-26 |
| 1053740530 | Robert Swanson | Counselor | 3406 Glacier Hwy, Juneau, AK 99801-9501 | 2013-11-05 |
| Street Address |
560 S MAPLE ST SUITE 110 |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379178 | Cheryl A Hansen | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2005-10-10 |
| 1790339497 | Dana Lee Cox | Occupational Therapist | 560 S Maple St, Waconia, MN 55387-1733 | 2019-07-31 |
| 1548828700 | Lindsay Marie Getten | Specialist/Technologist | 560 S Maple St, Waconia, MN 55387-1733 | 2019-06-03 |
| 1225422819 | Jeffrey Chrest | Specialist/Technologist | 560 S Maple St, Suite 210, Waconia, MN 55387-1733 | 2015-03-23 |
| 1346656089 | Shawn Johnson | Advanced Practice Midwife | 560 S Maple St, Suite 130, Waconia, MN 55387 | 2014-07-02 |
| 1376955971 | Matthew Ray Bennett | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-05-30 |
| 1043636145 | Meghan M Kolumbus | Specialist/Technologist | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-03-13 |
| 1043566003 | Laurie K. Grotzinger | Physician Assistant | 560 S Maple St, Suite 400, Waconia, MN 55387-1733 | 2012-07-27 |
| 1013277052 | Benjamin James Stasik | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2012-05-24 |
| 1922300979 | Jina M Burman | Physical Therapist | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2010-11-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| 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 |
|---|---|---|---|---|
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1992082382 | Precision Eye Care, LLC | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2011-11-14 |
| 1821177692 | Tracy A Jackson | Optometrist | 424 W State Highway 5, Waconia, MN 55387-1723 | 2006-11-03 |
| 1528147279 | Bradley J Ludwig | Optometrist | 424 W State Highway 5, Waconia, MN 55387-1723 | 2006-11-03 |
| 1538264981 | Edina Eye Physicians and Surgeons Pa | Optometrist | 560 S Maple St, Suite110, Waconia, MN 55387-1763 | 2006-09-13 |
| 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 |
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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.