ST CLOUD OPTICIANS (NPI# 1427046267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427046267 |
| Entity Type | Organization |
| Organization Name | ST CLOUD OPTICIANS |
| Practice Address |
2055 15th St N Saint Cloud MN 56303-1747 |
| Practice Telephone | 3202535628 |
| Practice Fax Number | 3202517122 |
| Mailing Telephone | 3202535628 |
| Mailing Fax Number | 3202517122 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | MISS SHARALA'NAE HENNEMANN (OPTICIAN) |
| Authorized Official Telephone | 3202535628 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 334762100 | 05 | |
| MN | BLUE CROSS | 56650CL | 01 |
| Street Address |
2055 15TH ST N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733143 | Mitchell Dean Harstad | Optometrist | 2055 15th St N, Saint Cloud, MN 56303-1747 | 2005-10-06 |
| 1043650575 | Joel W Nelson | Ophthalmology | 2055 15th St N, Saint Cloud, MN 56303-1747 | 2013-06-28 |
| 1356572804 | Derek John Bonacci | Optometrist | 2055 15th St N, Saint Cloud, MN 56303-1747 | 2009-07-31 |
| 1467499293 | St Cloud Mn Ophthalmology Asc LLC | Clinic/Center | 2055 15th St N, Suite B, Saint Cloud, MN 56303-1747 | 2006-06-01 |
| 1538157805 | St Cloud Eye Clinic Pa | Ophthalmology | 2055 15th St N, Saint Cloud, MN 56303-1747 | 2005-10-11 |
| 1376531079 | Steven William Rice | Ophthalmology | 2055 15th St N, Saint Cloud, MN 56303-1747 | 2005-10-07 |
| 1548258221 | Bradley Myren Anderson | Ophthalmology | 2055 15th St N, Saint Cloud, MN 56303-1747 | 2005-10-07 |
| 1083602783 | Richard William Lucius | Ophthalmology | 2055 15th St N, Saint Cloud, MN 56303-1747 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942866371 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 4051 W Division St Ste A, Saint Cloud, MN 56301-3741 | 2019-05-10 |
| 1043721202 | Eye Doctors Optical Outlets, Pa | Eyewear Supplier (Equipment, not the service) | 140 E 13th St, Saint Cloud, FL 34769-4703 | 2017-10-16 |
| 1942408521 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 6650 Saukview Dr, Saint Cloud, MN 56303-0806 | 2007-07-05 |
| 1134327794 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 6925 Saukview Dr, Saint Cloud, MN 56303-0813 | 2007-07-05 |
| 1407051279 | Eye Kraft Optical, Inc | Eyewear Supplier (Equipment, not the service) | 8 Mcleland Rd, Saint Cloud, MN 56303-2049 | 2007-06-20 |
| 1659498210 | Wimmer Opticians Inc | Eyewear Supplier (Equipment, not the service) | 901 W Saint Germain St, Saint Cloud, MN 56301-3460 | 2007-03-26 |
| 1376635466 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4165 W Division St, Ste C7, Saint Cloud, MN 56301-3740 | 2006-09-28 |
| 1912928839 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 4101 W Division St Ste 20, Saint Cloud, MN 56301-5015 | 2006-07-23 |
| 1740212331 | America's Best Contacts and Eyeglasses, Inc. | Eyewear Supplier (Equipment, not the service) | 4142 W Division St, Saint Cloud, MN 56301-3706 | 2006-07-06 |
| 1063465789 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 501 Highway 10 Se, Saint Cloud, MN 56304-1250 | 2006-05-17 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on ST CLOUD OPTICIANS.
| 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.