DR. GANE MARIE BOOTHROYD (NPI# 1336292911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336292911 |
| Entity Type | Individual |
| Full Name | DR. GANE MARIE BOOTHROYD |
| Credential | O.D. |
| Practice Address |
304 N. Garden Mall of America Bloomington MN 55425 |
| Mailing Address |
13932 Aquila Cir Savage MN 55378-2155 |
| Practice Telephone | 9528588414 |
| Practice Fax Number | 9528588416 |
| Mailing Telephone | (952) 920-0039 |
| Mailing Fax Number | 9529200039 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2017-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2769 | MN | Eye and Vision Services Providers |
| Street Address |
304 N. GARDEN MALL OF AMERICA |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1174044119 | Abs Holdings, Inc. | In Home Supportive Care | 2626 East 82nd St., Suite 145, Bloomington, MN 55425 | 2017-06-29 |
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1336578145 | Rebecca Ann Lund | Counselor | 8011 34th Avenue South, Suite 206, Bloomington, MN 55425 | 2013-11-02 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1841341898 | Visual Edge, Inc | Technician/Technologist | W 385 West Market, Mall of America, Bloomington, MN 55425 | 2007-01-16 |
| 1366527939 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 9201 Cedar Avenue South, Bloomington, MN 55425 | 2006-10-25 |
| Find all providers in zip 55425 | ||||
| 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 |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1245650639 | Scott A Miller Od LLC | Optometrist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2014-04-24 |
| 1184044224 | Thomas Gast | Optometrist | 414 S Meadowbrook Dr, Bloomington, IN 47401-4227 | 2014-04-16 |
| 1740520790 | Hoosier Eye Doctor Inc | Optometrist | 4719 W State Road 46, Bloomington, IN 47404-9518 | 2013-02-27 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| 1558661918 | Shu Sheng Phung | Optometrist | 315 S Center St, Bloomington, IL 61701-5101 | 2010-11-01 |
| 1760610265 | Denver Joseph Mcdaniel | Optometrist | 1105 S College Mall Rd, Bloomington, IN 47401-6177 | 2009-06-24 |
| 1194987131 | Diana Lynn Christensen | Optometrist | 3205 West State Road 45, Christensen Eye Care, Bloomington, IN 47403 | 2008-07-01 |
| 1548458623 | William B. Witte, Ltd | Optometrist | 2409 E Washington St, Bloomington, IL 61704-4483 | 2007-10-14 |
| 1740472216 | Mark A Houser | Optometrist | 3818 W Woodyard Rd, Bloomington, IN 47404-1430 | 2007-08-17 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55425 |
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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.