VISION SERVICES INC. (NPI# 1366592511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366592511 |
| Entity Type | Organization |
| Organization Name | VISION SERVICES INC. |
| Other Organization Name | DR. BRAD HAGEMO |
| Practice Address |
1090 Southdale Ctr Edina MN 55435-7050 |
| Mailing Address |
620 Lyman Pl Excelsior MN 55331-3236 |
| Practice Telephone | 9529292442 |
| Practice Fax Number | 9529270088 |
| Mailing Telephone | 9524579054 |
| Mailing Fax Number | 9529270088 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. BRADLEY DUANE HAGEMO (PRESIDENT) |
| Authorized Official Telephone | 9524579054 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1981 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE LICENSE | 1981 | 01 |
| MN | DEA NUMBER | MH1274000 | 01 |
| Other Name | Type Code |
|---|---|
| Dr. Brad Hagemo | Doing Business As Name - Organization |
| Street Address |
1090 SOUTHDALE CTR |
| City | EDINA |
| State | MN |
| Zip Code | 55435-7050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649442377 | Bradley Duane Hagemo | Optometrist | 1090 Southdale Ctr, Edina, MN 55435-7050 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| 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 |
|---|---|---|---|---|
| 1194215582 | Joel Woods | Optometrist | 2915 Southdale Ctr, Edina, MN 55435-7041 | 2018-05-11 |
| 1396125837 | Zachary Robert Holland | Optometrist | 5201 Eden Ave Ste 150, Edina, MN 55436-2359 | 2015-05-29 |
| 1275887309 | Tamara Legg | Optometrist | 2195 Southdale Shopping Center, Edina, MN 55435 | 2012-10-26 |
| 1821243239 | Fifth Avenue of Edina Inc. | Optometrist | 3540 Galleria, Edina, MN 55435-4218 | 2008-11-26 |
| 1003091471 | Tamra L Larson | Optometrist | 3300 Edinborough Way Ste 412, Edina, MN 55435-5960 | 2008-01-04 |
| 1841332624 | The Lasik Vision Institute LLC | Optometrist | 3209 W 76th St, Ste300, Edina, MN 55435-5246 | 2007-02-12 |
| 1679641914 | Stephen Reigstad | Optometrist | 1030 Southdale Ctr, Edina, MN 55435-7050 | 2006-12-04 |
| 1679580500 | Toni Leann Albrecht | Optometrist | 3380 Galleria, Invision, Edina, MN 55435 | 2006-08-02 |
| 1720032071 | Rodney Albert Binfet | Optometrist | 2195 Southdale Ctr, Edina, MN 55435-7065 | 2006-05-20 |
| 1578515102 | Gale Stead | Optometrist | 3625 Galleria, Edina, MN 55435-2525 | 2006-05-16 |
| Find all providers in EDINA | ||||
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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.