DR. TYLER J JOHNSON (NPI# 1205810868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205810868 |
| Entity Type | Individual |
| Full Name | DR. TYLER J JOHNSON |
| Credential | O.D. |
| Practice Address |
3900 Park Nicollet Blvd St Louis Park MN 55416-2503 |
| Mailing Address |
3800 Park Nicollet Blvd Credentialing St Louis Park MN 55416-2527 |
| Practice Telephone | 9529933150 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2012-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2358 | MN | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184175002 | Tyler Johnson | Specialist/Technologist | 2627 E 2100 S, Salt Lake City, UT 84109-1370 | 2016-10-14 |
| 1679846281 | Tyler Elliot Johnson | Military Health Care Provider | 342 Dover Ct, Virginia Beach, VA 23454-4253 | 2012-02-13 |
| 1871878298 | Tyler Chase Johnson | Chiropractor | 4716 4th St, Suite 102, Lubbock, TX 79416-4900 | 2011-10-17 |
| 1831334929 | Tyler Johnson | Dentist | 1287 Carlsbad Village Dr, Carlsbad, CA 92008-1950 | 2008-12-04 |
| 1821164203 | Tyler Johnson | Chiropractor | 3127 Brady St, Johnson Chiropractic & Sports Injury Ste #4, Davenport, IA 52803-1233 | 2006-11-28 |
| 1235755281 | Tyler James Johnson | Family Medicine | 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114-2765 | 2020-06-24 |
| 1679100580 | Tyler Johnson | Student in an Organized Health Care Education/Training Program | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | 2020-03-23 |
| 1205462934 | Tyler Johnson | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-03-13 |
| 1275170201 | Tyler Johnson | Physical Therapist | 420 Walmart Way Ste B, Dahlonega, GA 30533-0818 | 2019-12-10 |
| 1154886794 | Tyler Johnson | Behavioral Analyst | 4760 Oakland St Ste 100, Denver, CO 80239-2732 | 2019-02-07 |
| Street Address |
3900 PARK NICOLLET BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259395 | Ann Kolar Chinnakotla | Nurse Practitioner | 3900 Park Nicollet Blvd, 3rd Floor Urology, St Louis Park, MN 55416-2503 | 2005-07-21 |
| 1073980454 | Teresa Slepicka | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2015-09-01 |
| 1194113217 | Park Nicollet Methodist Hospital | General Acute Care Hospital | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2014-12-23 |
| 1164837373 | Erin Marie Sinkoff | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 | 2014-06-25 |
| 1477827236 | Christine Kroll | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2012-02-26 |
| 1306170808 | Jason Davis | Physician Assistant | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2009-09-30 |
| 1972837706 | Laura J Heinmiller | Ophthalmology | 3900 Park Nicollet Blvd, Suite 230, St Louis Park, MN 55416-2503 | 2009-09-26 |
| 1134389463 | Hans S Grinager | Ophthalmology | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2008-06-10 |
| 1407974561 | Jonathan Pribila | Ophthalmology | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2007-03-27 |
| 1487668919 | David Warren Pederson | Podiatrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
|---|---|---|---|---|
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1306365846 | Roman Gerber LLC | Optometrist | 3820 Grand Way, St Louis Park, MN 55416-4903 | 2017-09-15 |
| 1831486372 | Roman Boris Gerber | Optometrist | 3840 Grand Way, St Louis Park, MN 55416-4788 | 2011-07-05 |
| 1760610174 | Elizabeth M Johnson | Optometrist | 5103 Minnetonka Blvd, St Louis Park, MN 55416-2201 | 2009-06-24 |
| 1073664421 | Alan H. Diamond | Optometrist | 7204 Minnetonka Blvd, St Louis Park, MN 55426-3210 | 2007-01-14 |
| 1003359597 | Icare Family Vision Plc | Optometrist | 5103 Minnetonka Blvd, St Louis Park, MN 55416-2201 | 2016-12-01 |
| 1073980454 | Teresa Slepicka | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2015-09-01 |
| 1164837373 | Erin Marie Sinkoff | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 | 2014-06-25 |
| 1821338484 | On Call Medical Inc | Optometrist | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1481 | 2013-02-19 |
| 1477827236 | Christine Kroll | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2012-02-26 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.