MINNESOTA VISION OUTREACH, INC (NPI# 1457563827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457563827 |
| Entity Type | Organization |
| Organization Name | MINNESOTA VISION OUTREACH, INC |
| Practice Address |
9905 45th Avenue North Suite 110 Plymouth MN 55422-3315 |
| Practice Telephone | 7635958414 |
| Practice Fax Number | 7635958414 |
| Mailing Telephone | 7635958414 |
| Mailing Fax Number | 7635958438 |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | DR. SAMUEL WOLFSON (OWNER) |
| Authorized Official Telephone | 7635858414 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1706 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE PLUS | 3C780MI | 01 |
| MN | BCBS OF MN | 19467WO | 01 |
| MN | HEALTH PARTNERS | 23979 | 01 |
| MN | MEDICA CHOICE | 2115998 | 01 |
| MN | UCARE | 102877 | 01 |
| MN | MEDICA PRIMARY | 2100002 | 01 |
| MN | 096744100 | 05 | |
| MN | MHP | 2499537 | 01 |
| Street Address |
9905 45TH AVENUE NORTH SUITE 110 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55422-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578626628 | Alan E Anderson | Optometrist | 9905 45th Avenue North, Suite 110, Plymouth, MN 55442-3315 | 2006-12-19 |
| 1477616449 | Samuel F Wolfson | Optometrist | 9905 45th Avenue North, Suite 110, Plymouth, MN 55442-3315 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| 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 |
|---|---|---|---|---|
| 1669998969 | Ryan Christopher Racette | Optometrist | 212 S Meadow Rd Unit 5c, Plymouth, MA 02360-5450 | 2017-08-17 |
| 1013442094 | Robert Ray Baltierra | Optometrist | 44429 Ann Arbor Rd W, Plymouth, MI 48170-3907 | 2017-04-27 |
| 1568779643 | Hooligan Adventures | Optometrist | 3185 Fernbrook Ln N, Plymouth, MN 55447-5320 | 2010-09-09 |
| 1235461708 | Full Sail Partners, LLC | Optometrist | 215 N Michigan St, Plymouth, IN 46563-2134 | 2010-02-08 |
| 1982895439 | Tate Herman | Optometrist | 16875 County Road 24, Ste.301, Plymouth, MN 55447-1290 | 2007-08-08 |
| 1164637591 | Francis J Aprea Od,pc | Optometrist | 22 Chilton St, Plymouth, MA 02360-3804 | 2007-05-11 |
| 1801921408 | Dennis M Picard | Optometrist | 670 S Main St, Plymouth, MI 48170-1711 | 2007-02-22 |
| 1073654802 | Glenna Anne Waitt | Optometrist | Bjs Optical, Glenna Waitt Od, Plymouth, MA 02360 | 2007-02-12 |
| 1427198126 | Glenn Young | Optometrist | 550 Forest Ave Ste 12, Plymouth, MI 48170-1769 | 2007-02-08 |
| 1902943822 | Plymouth Vision Center, Inc. | Optometrist | 16725 Cty Rd 24, Plymouth, MN 55447 | 2007-01-31 |
| Find all providers in PLYMOUTH | ||||
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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.