MINNESOTA OPTOMETRIC EYE DOCTOR, P.A. (NPI# 1316443542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316443542 |
| Entity Type | Organization |
| Organization Name | MINNESOTA OPTOMETRIC EYE DOCTOR, P.A. |
| Practice Address |
1752 N Frontage Rd Hastings MN 55033 |
| Mailing Address |
2990 Sherry Ct Little Canada MN 55117-4639 |
| Practice Telephone | 6514382400 |
| Mailing Telephone | 6512062418 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | ERIC R TYLER (OD/OWNER) |
| Authorized Official Telephone | 6512062418 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3001 White Bear Ave N, Maplewood, MN 551091215 | 6517704274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972349 | Minnesota Optometric Eye Doctor, P.a. | Optometrist | 2650 32nd Ave S # Setf3, Grand Forks, ND 58201-6541 | 2020-08-14 |
| Street Address |
1752 N FRONTAGE RD |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629095005 | Walmart Inc. | Pharmacy | 1752 N Frontage Rd, Hastings, MN 55033-3490 | 2006-07-16 |
| 1063011484 | Tak Shing Sum | Pharmacist | 1752 N Frontage Rd, Hastings, MN 55033-3490 | 2020-10-19 |
| 1114526555 | Vanessa I Williams | Pharmacist | 1752 N Frontage Rd, Hastings, MN 55033-3490 | 2020-10-17 |
| 1316545163 | Nadezhda Kraut | Pharmacist | 1752 N Frontage Rd, Hastings, MN 55033-3490 | 2020-10-14 |
| 1710068523 | Wal-mart Stores, Inc. | Technician/Technologist | 1752 N Frontage Rd, Hastings, MN 55033-3490 | 2006-10-18 |
| 1245349919 | Marshall Perry Tillman | Optometrist | 1752 N Frontage Rd, Hastings, MN 55033-3490 | 2006-08-29 |
| 1285652826 | Eric Richard Tyler | Optometrist | 1752 N Frontage Rd, Hastings, MN 55033 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052898 | Juan Miguel Almonte Sanchez | Dentist | 1465 N Frontage Rd, Hastings, MN 55033 | 2018-08-08 |
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1134490469 | Bernie Jerome Menge | Counselor | 1303 S Frontage Rd Ste 275, Hastings, MN 55033 | 2012-01-18 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1790944973 | Parker Chiropractic Pa | Chiropractor | 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 | 2008-06-03 |
| 1518144740 | Susan Hietala Levahn | Physical Therapist | 85 Pleasant Ave, Hastings, MN 55033 | 2008-01-30 |
| 1851578215 | John Thomas Tonsager | Physical Therapist | 1285 Nininger Road, Hastings, MN 55033 | 2008-01-29 |
| 1588849889 | Laura Lynn Richardson | Occupational Therapist | 85 Pleasant Drive, Hastings, MN 55033 | 2008-01-04 |
| 1518142801 | Debra Ann Perron Mccabe | Occupational Therapist | 1175 Nininger Road, Hastings, MN 55033 | 2008-01-04 |
| 1083899892 | Christina Marie Kummer | Occupational Therapist | 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 | 2007-12-31 |
| Find all providers in zip 55033 | ||||
| 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 |
|---|---|---|---|---|
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1154884385 | Kelly Marie James | Optometrist | 803 W State St # M-43, Hastings, MI 49058-1660 | 2019-04-14 |
| 1295173771 | Heather Marie Jones | Optometrist | 915 W. Green St Ste 101, Hastings, MI 49331 | 2013-06-06 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1528384047 | Jennifer Raelyn Deets | Optometrist | 213 S Burlington Ave, Hastings, NE 68901-5905 | 2010-04-08 |
| 1194882068 | Rx Optical Laboratories, Inc. | Optometrist | 803 W State St, Hastings, MI 49058-1660 | 2007-01-02 |
| 1013935501 | Dena L Mcgree | Optometrist | 1011 N Frontage Rd, Hastings, MN 55033-2662 | 2006-07-17 |
| 1114983921 | Robin L Schutt | Optometrist | 220 S Burlington Ave, Suite 1, Hastings, NE 68901-5915 | 2006-04-21 |
| 1710942842 | Richard Joseph Arneson | Optometrist | 2119 W 12th St, Hastings, NE 68901-3605 | 2006-04-20 |
| 1659334621 | Ann Hemmeke | Optometrist | 1761 W M-43 Hwy, Suite 1, Hastings, MI 49058-8378 | 2006-04-10 |
| Find all providers in HASTINGS | ||||
Please comment or provide details below to improve the information on MINNESOTA OPTOMETRIC EYE DOCTOR, P.A..
| 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.