NORTHWEST EYE CLINIC, LLC (NPI# 1437235280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437235280 |
| Entity Type | Organization |
| Organization Name | NORTHWEST EYE CLINIC, LLC |
| Practice Address |
6060 Clearwater Dr Ste 150 Minnetonka MN 55343-9490 |
| Mailing Address |
8401 Golden Valley Rd Ste 330 Golden Valley MN 55427-4488 |
| Practice Telephone | 7634167600 |
| Practice Fax Number | 7634167634 |
| Mailing Telephone | 7634167629 |
| Mailing Fax Number | 7633834147 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | KELLY PETTENGILL (CREDENTIALING AND DATA MANAGEMENT) |
| Authorized Official Telephone | 7634167629 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 360 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 467427800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255417002 | Northwest Eye Clinic, LLC | Ophthalmology | 2601 39th Ave Ne Ste 1, St. Anthony, MN 55421 | 2006-10-27 |
| 1992044432 | Northwest Eye Clinic, LLC | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2013-02-04 |
| 1528144375 | Northwest Eye Clinic, LLC | Ophthalmology | 250 Central Ave N Ste 105, Wayzata, MN 55391-1207 | 2006-10-27 |
| 1164508917 | Northwest Eye Clinic, LLC | Ophthalmology | 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN 55369-7074 | 2006-10-27 |
| 1891871646 | Northwest Eye Clinic, LLC | Ophthalmology | 250 Central Ave N Ste 107, Wayzata, MN 55391-1207 | 2006-10-27 |
| 1497837306 | Northwest Eye Clinic, LLC | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-10-19 |
| Street Address |
6060 CLEARWATER DR STE 150 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55343-9490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023093390 | William Keith Engel | Ophthalmology | 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343 | 2005-12-09 |
| 1104908649 | Distinctive Eyewear, LLC | Technician/Technologist | 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343-9490 | 2006-10-20 |
| 1356329189 | Richard S Freeman | Ophthalmology | 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343-9490 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| Find all providers in zip 55343 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023093390 | William Keith Engel | Ophthalmology | 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343 | 2005-12-09 |
| 1356329189 | Richard S Freeman | Ophthalmology | 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343-9490 | 2006-01-03 |
| 1467437780 | Michael Lieppman | Ophthalmology | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290486 | Eye Care Associates, Pa | Ophthalmology | 710 E 24th St Ste 101-201, Minneapolis, MN 55404-3840 | 2018-10-12 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1790228294 | Eye Associates of Central Minnesota Pa | Ophthalmology | 628 Roosevelt Rd, Suite 101, Saint Cloud, MN 56301-4867 | 2016-12-01 |
| 1093160491 | Christina Gillmor | Ophthalmology | 516 Delaware St Se Fl 9, Minneapolis, MN 55455-0356 | 2016-05-04 |
| 1861889776 | Michael Andrew Jordan | Ophthalmology | 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 | 2015-04-17 |
| 1467872390 | Luke Dolezal | Ophthalmology | 5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 | 2014-04-17 |
| 1811330939 | James Layer | Ophthalmology | 3708 Upton Ave S, Minneapolis, MN 55410-1237 | 2013-04-08 |
| 1093058158 | Hao Tang | Ophthalmology | 7760 France Ave S Ste 310, Edina, MN 55435 | 2013-03-27 |
| 1407112881 | Phillip Michael Armand Radke | Ophthalmology | 7450 France Ave S Ste 100, Edina, MN 55435-4799 | 2012-04-10 |
| 1023374964 | Sasha Strul | Ophthalmology | 701 25th Ave S Ste 300, Minneapolis, MN 55454-1443 | 2012-04-04 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55343 |
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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.