DR. DALE L CARLSON (NPI# 1316974967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316974967 |
| Entity Type | Individual |
| Full Name | DR. DALE L CARLSON |
| Credential | OD |
| Practice Address |
220 East Main Mankato MN 56002-3387 |
| Practice Telephone | 5073455087 |
| Practice Fax Number | 5073451151 |
| Mailing Telephone | 5073455087 |
| Mailing Fax Number | 5073451151 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | LD1494000 | MN | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093804270 | Dale Roy Carlson | Pharmacist | 901 E 22nd Ave, Torrington, WY 82240-2626 | 2006-10-12 |
| 1023239803 | Dale Gary Carlson | Registered Nurse | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2007-05-01 |
| Street Address |
220 EAST MAIN |
| City | MANKATO |
| State | MN |
| Zip Code | 56002-3387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518004803 | Karl Philip Roos | Internal Medicine | 1230 East Main Street, Mankato, MN 56002 | 2007-01-30 |
| 1194766055 | Winny W Hung | Emergency Medicine | 1025 Marsh St, Dept. of Emergency Medicine, Mankato, MN 56002 | 2006-06-09 |
| 1992789986 | Brenda Oian Iv | Marriage & Family Therapist | Blue Earth County Government Center, 410 South 5th Street, Mankato, MN 56002-3526 | 2005-12-02 |
| 1811040769 | County of Blue Earth | Public Health or Welfare | 410 S 5th St, Mankato, MN 56002-3526 | 2007-01-22 |
| 1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
| 1962660324 | Hope Rene Bollig | Physician Assistant | 1015 Marsh St, Mankato, MN 56002-8673 | 2008-06-01 |
| 1649324690 | Matthew James Schaefer | Radiology | 1025 Marsh St, Mankato, MN 56002-8673 | 2007-01-23 |
| 1427131895 | Matthew Gerald Pollema | Radiology | 1025 Marsh St, Mankato, MN 56002-8673 | 2006-10-21 |
| 1144217209 | Erin E Bissonnette | Nurse Practitioner | 1230 E. Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2005-10-04 |
| 1457346926 | Scott J Barnacle | Obstetrics & Gynecology | 1230 E Main Street, Mankato, MN 56002-8674 | 2005-09-12 |
| Find all providers in zip 56002 | ||||
| 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 |
|---|---|---|---|---|
| 1215091723 | Michael Jackson | Optometrist | 1850 Adams St Ste 112, Mankato, MN 56001-4846 | 2006-12-20 |
| 1891862231 | Thomas Warner Dull | Optometrist | 1850 Adam St Suite 005 Sears Optical, Thomas W Dull, Mankato, MN 56001 | 2006-11-29 |
| 1811075401 | Jean M Tasler | Optometrist | 1819 Adams St, Mankato, MN 56001-4841 | 2006-11-01 |
| 1225116932 | Carlson Tillisch Eye Clinic, Ltd | Optometrist | 120 N Broad St, Mankato, MN 56001-3518 | 2006-11-01 |
| 1467404210 | Rachael Suzanne Potter | Optometrist | 1820 E Madison Ave, Mankato, MN 56001-5448 | 2006-05-17 |
| 1386626794 | Albert Ray Lamotte | Optometrist | 111 Star St, Suite 101, Mankato, MN 56001-4888 | 2005-11-20 |
| 1376049031 | Murphy Grotewold | Optometrist | 220 E Main St, Mankato, MN 56001 | 2018-04-02 |
| 1790149003 | Laura Goemann | Optometrist | 1400 Madison Ave Ste 338, Mankato, MN 56001-5465 | 2016-04-12 |
| 1447586987 | Nathaniel Lee Graham | Optometrist | 1421 Premier Dr, Mankato, MN 56001-6076 | 2009-10-18 |
| 1538398250 | Angela Michelle Johnson | Optometrist | 1400 E Madison Ave, Suite 338, Mankato, MN 56001-5473 | 2009-07-02 |
| Find all providers in MANKATO | ||||
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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.