DR. ALBERT RAY LAMOTTE (NPI# 1386626794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386626794 |
| Entity Type | Individual |
| Full Name | DR. ALBERT RAY LAMOTTE |
| Credential | O.D. |
| Practice Address |
111 Star St Suite 101 Mankato MN 56001-4888 |
| Mailing Address |
129 Cougar Dr Mankato MN 56001-8655 |
| Practice Telephone | 5073858110 |
| Practice Fax Number | 9524004207 |
| Mailing Telephone | 6127017064 |
| Mailing Fax Number | 9524004207 |
| Enumeration Date | 2005-11-20 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1893 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE PTAN | C04901 | 01 |
| MN | 111460000 | 05 |
| Street Address |
111 STAR ST SUITE 101 |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-4888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801348461 | Iowa Hearing Associates LLC | Hearing Aid Equipment | 111 Star St, Mankato, MN 56001-4888 | 2016-10-31 |
| 1023283132 | Optometric Physicians LLC | Optometrist | 111 Star St, Suite 101, Mankato, MN 56001-4888 | 2008-04-29 |
| 1053497651 | Kato Vision Inc | Technician/Technologist | 111 Star St, 101, Mankato, MN 56001-4888 | 2006-10-27 |
| 1851473920 | Jeffrey Ronald Crowley | Optometrist | 111 Star St, Suite 101, Mankato, MN 56001-4888 | 2006-10-19 |
| 1477537637 | Douglas Wade Otopalik | Dentist | 111 Star St, Suite 109, Mankato, MN 56001-4888 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| 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 |
| 1316974967 | Dale L Carlson | Optometrist | 220 East Main, Mankato, MN 56002-3387 | 2006-06-27 |
| 1467404210 | Rachael Suzanne Potter | Optometrist | 1820 E Madison Ave, Mankato, MN 56001-5448 | 2006-05-17 |
| 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.