JENNY O'MALLEY (NPI# 1235218280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235218280 |
| Entity Type | Individual |
| Full Name | JENNY O'MALLEY |
| Credential | O.D. |
| Practice Address |
100 State Ave Faribault MN 55021-6337 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 5073343921 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3029 | MN | Eye and Vision Services Providers |
| Street Address |
100 STATE AVE |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745022 | Terence P Cahill | Family Medicine | 100 State Ave, Faribault, MN 55021-6337 | 2005-07-22 |
| 1336754555 | Allina Health System | Clinic/Center | 100 State Ave, Faribault, MN 55021-6337 | 2020-09-14 |
| 1952963670 | Joni Renee Rykken | Audiologist | 100 State Ave, Faribault, MN 55021-6337 | 2019-07-02 |
| 1760953897 | Matthew Ahlskog | Physician Assistant | 100 State Ave, Faribault, MN 55021-6337 | 2018-12-16 |
| 1376026989 | Sheryl Borka | Social Worker | 100 State Ave, Faribault, MN 55021 | 2018-09-10 |
| 1255812590 | Griselda Lopez | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2018-08-24 |
| 1255731220 | Michelle Crosby | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2014-08-27 |
| 1871907246 | Sakina Sachak | Emergency Medicine | 100 State Ave, Faribault, MN 55021-6337 | 2014-06-13 |
| 1992050330 | Christine M Werner | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2012-07-23 |
| 1932461480 | Jennifer Hart | Physician Assistant | 100 State Ave, Faribault, MN 55021-6337 | 2012-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| 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 |
|---|---|---|---|---|
| 1073900718 | Angella Schaefer | Optometrist | 1575 20th St Nw, Suite 101, Faribault, MN 55021-2930 | 2015-04-21 |
| 1174834022 | Misty Purfeerst | Optometrist | 1575 20th St Nw, Ste 101, Faribault, MN 55021-2930 | 2010-06-25 |
| 1427140599 | Reena Madhok | Optometrist | 100 State Ave, Faribault, MN 55021-6337 | 2006-09-28 |
| 1700890803 | David Earl Malmanger | Optometrist | 1575 20th St Nw Ste 101, Faribault, MN 55021-2931 | 2006-07-27 |
| 1679595276 | Murray Hanson | Optometrist | 1575 20th St Nw Ste 101, Faribault, MN 55021-2931 | 2006-07-24 |
| 1851313415 | Bruce Gustafson | Optometrist | 1575 20th St Nw Ste 101, Faribault, MN 55021-2931 | 2006-07-24 |
| 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.