EDINA EYE PHYSICIANS AND SURGEONS PA (NPI# 1407903248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407903248 |
| Entity Type | Organization |
| Organization Name | EDINA EYE PHYSICIANS AND SURGEONS PA |
| Practice Address |
3777 Coon Rapids Blvd Nw Suite 100 Coon Rapids MN 55433 |
| Practice Telephone | 7634217420 |
| Practice Fax Number | 7634210730 |
| Mailing Telephone | 7634217420 |
| Mailing Fax Number | 7634210730 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | DELTA JORGENSEN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7635928413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optical Studios | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710078738 | Edina Eye Physicians and Surgeons Pa | Optometrist | 209 Chalupsky Ave Se, New Prague, MN 56071-2448 | 2006-09-27 |
| 1740382274 | Edina Eye Physicians and Surgeons Pa | Optometrist | 4201 Dean Lakes Blvd, Suite 100, Shakopee, MN 55379-2829 | 2006-09-04 |
| 1972950814 | Edina Eye Physicians and Surgeons Pa | Ophthalmology | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2016-05-20 |
| 1114124971 | Edina Eye Physicians and Surgeons Pa | Clinic/Center | 11855 Ulysses St, Suite 140, Blaine, MN 55434 | 2007-06-27 |
| 1184715104 | Edina Eye Physicians and Surgeons Pa | Optometrist | 14050 Nicollet Ave, Suite 101, Burnsville, MN 55337-5710 | 2006-09-27 |
| 1629169644 | Edina Eye Physicians and Surgeons Pa | Optometrist | 111 Hundertmark Rd, Suite 105n, Chaska, MN 55318-4551 | 2006-09-27 |
| 1518058536 | Edina Eye Physicians and Surgeons Pa | Optometrist | 290 Main St Nw, Elk River, MN 55330-1270 | 2006-09-27 |
| 1427149442 | Edina Eye Physicians and Surgeons Pa | Optometrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-09-27 |
| 1477644490 | Edina Eye Physicians and Surgeons Pa | Ophthalmology | 7450 France Ave S, Suite 100, Edina, MN 55435-4787 | 2006-09-27 |
| 1538264981 | Edina Eye Physicians and Surgeons Pa | Optometrist | 560 S Maple St, Suite110, Waconia, MN 55387-1763 | 2006-09-13 |
| Street Address |
3777 COON RAPIDS BLVD NW SUITE 100 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617849 | James Adair Cameron | Ophthalmology | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2005-05-24 |
| 1568873123 | Becky Yeung | Optometrist | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2630 | 2014-05-16 |
| 1588005300 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 3777 Coon Rapids Blvd Nw, Ste 120, Coon Rapids, MN 55433-2630 | 2013-07-09 |
| 1285918268 | Paul Chadima Hammond | Optometrist | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2630 | 2011-10-07 |
| 1558593004 | Matthew Sander Johnson | Ophthalmology | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2009-08-18 |
| 1891924304 | Marlene Kluss | Optometrist | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2009-07-06 |
| 1912151929 | David V Folden | Ophthalmology | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2008-11-05 |
| 1730386723 | North Suburban Optical | Eyewear Supplier (Equipment, not the service) | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2007-07-02 |
| 1073542767 | Bridget C Axelson | Optometrist | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2006-07-03 |
| 1205870045 | Mark Lobanoff | Ophthalmology | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821257593 | Jerrol Noller Md Ltd | Clinic/Center | 3863 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922576081 | Complex Cares LLC | Clinic/Center | 4700 Lexington Ave N Ste C, Shoreview, MN 55126-5964 | 2018-11-07 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1992196307 | Austin Orthopedics & Sports Medicine | Clinic/Center | 14051 Burnhaven Dr Ste 100, Burnsville, MN 55337-4400 | 2015-02-08 |
| 1831599430 | Medifit Health, LLC | Clinic/Center | 9201 Quaday Ave Ne Ste 203, Otsego, MN 55330-6604 | 2014-09-02 |
| 1437567609 | Aligned Chiropractic Pa | Clinic/Center | 3408 E Lake St, Suite 120, Minneapolis, MN 55406-2175 | 2014-07-31 |
| 1316369911 | New Leaf Medical, Pllc | Clinic/Center | 3622 County Road 101 S, Wayzata, MN 55391-3424 | 2014-01-16 |
| 1861825093 | Active Feet, Foot & Ankle Health Center | Clinic/Center | 10995 Club West Pkwy Ste 300, Blaine, MN 55449-5861 | 2013-08-12 |
| 1841538808 | White Dandelion Chinese Medicine L.L.C. | Clinic/Center | 108 3rd St E, Northfield, MN 55057-2050 | 2013-01-27 |
| 1831409234 | Princeton Chiropractic Clinic LLC | Clinic/Center | 501 4th St S Ste 101, Princeton, MN 55371-4754 | 2010-10-19 |
| 1629252101 | Paula Allenburg, Ltd | Clinic/Center | 2415 Emerson Ave S, Minneapolis, MN 55405-2602 | 2007-12-20 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on EDINA EYE PHYSICIANS AND SURGEONS PA.
| 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.