EYECARE MPLS PLLC (NPI# 1245629369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245629369 |
| Entity Type | Organization |
| Organization Name | EYECARE MPLS PLLC |
| Practice Address |
3033 Excelsior Blvd Suite 205 Minneapolis MN 55416-4688 |
| Practice Telephone | 6124709871 |
| Mailing Telephone | 6124709871 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-09-14 |
| Authorized Official Name | DR. STELLA HENNEN (GLAUCOMA SPECIALIST/OWNER) |
| Authorized Official Telephone | 6124709871 |
| Authorized Official Credential | MD, MSPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
56474 | MN | Ambulatory Health Care Facilities |
| Street Address |
3033 EXCELSIOR BLVD SUITE 205 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-4688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439418 | Amanda R Brummel | Pharmacist | 3033 Excelsior Blvd, Suite 275, Minneapolis, MN 55416-4688 | 2005-07-01 |
| 1508411711 | Courtney Gundrum | Counselor | 3033 Excelsior Blvd, Minneapolis, MN 55416-4688 | 2019-08-05 |
| 1295391878 | Rachel Mary Hanson | Social Worker | 3033 Excelsior Blvd, Minneapolis, MN 55416-4688 | 2019-05-19 |
| 1407339005 | Kathleen Gehring Anderson | Counselor | 3033 Excelsior Blvd, Minneapolis, MN 55416-4688 | 2018-09-10 |
| 1427408970 | Gaura Saini | Physical Therapist | 3033 Excelsior Blvd, Suite 225, Minneapolis, MN 55416-4688 | 2016-06-15 |
| 1548614688 | Ashley Marie Janovsky | Advanced Practice Midwife | 3033 Excelsior Blvd, Minneapolis, MN 55416-4688 | 2016-04-14 |
| 1609241801 | Fairview Health Services | Clinic/Center | 3033 Excelsior Blvd, Minneapolis, MN 55416-4688 | 2015-12-14 |
| 1003206731 | Camille Ashley Schwarzrock | Nurse Practitioner | 3033 Excelsior Blvd, Suite 403, Minneapolis, MN 55416-4688 | 2015-02-03 |
| 1750771143 | Willow Midwives Ltd | Clinic/Center | 3033 Excelsior Blvd, Suite 585, Minneapolis, MN 55416-4688 | 2015-01-23 |
| 1780080937 | Jenni Meyer | Advanced Practice Midwife | 3033 Excelsior Blvd, Ste 585, Minneapolis, MN 55416-4688 | 2014-11-17 |
| 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 | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073020681 | Eyeswear | Clinic/Center | 720 W Lake St # 107, Minneapolis, MN 55408-2963 | 2018-01-04 |
| 1013244276 | University of Minnesota Department of Ophthalmology | Clinic/Center | 516 Delaware St Se, Department of Ophthalmology, Minneapolis, MN 55455-0356 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801068853 | Metropolitan Eye Care Specialists, P.a. | Clinic/Center | 150 E Travelers Trl, Suite D, Burnsville, MN 55337-6889 | 2008-03-31 |
| 1043760119 | The Total Vision Institute LLC | Clinic/Center | 7415 Wayzata Blvd, St Louis Park, MN 55426-1607 | 2016-10-12 |
| 1508312554 | The Cataract Vision Institute LLC | Clinic/Center | 3209 W 76th St, Suite 300, Edina, MN 55435-5246 | 2016-08-30 |
| 1154633253 | Weis Eye Center | Clinic/Center | 4815 W Arrowhead Rd, Suite 120, Hermantown, MN 55811-4004 | 2010-07-06 |
| 1083885081 | Chu Surgery Center, LLC | Clinic/Center | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2008-03-18 |
| 1992841076 | Columbus Eye Associates, Inc | Clinic/Center | 3300 Edinborough Way, Suite 412, Edina, MN 55435-5923 | 2007-01-29 |
| 1437202967 | Regional Eye Surgery Center, Inc. | Clinic/Center | 1455 Montreal St Se, Hutchinson, MN 55350 | 2007-01-19 |
| 1720173651 | St Paul Eye Clinic Pa | Clinic/Center | 2080 Woodwinds Dr, Suite 110, Woodbury, MN 55125-2523 | 2006-10-04 |
| 1649379132 | Conrad Eye Services, Plc | Clinic/Center | 200 Village Center Dr, Suite 300, North Oaks, MN 55127-7090 | 2006-09-21 |
| 1720059421 | Minnesota Eye Laser & Surgery Centers, LLC | Clinic/Center | 9801 Dupont Ave S, Suite 100, Bloomington, MN 55431-3100 | 2006-01-30 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| 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.