COMPLETE EYE CARE OF MEDINA (NPI# 1477737088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477737088 |
| Entity Type | Organization |
| Organization Name | COMPLETE EYE CARE OF MEDINA |
| Practice Address |
922 Highway 55 Suite 300 Medina MN 55340-9545 |
| Practice Telephone | 7634783505 |
| Mailing Telephone | 7634783505 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | DR. GINA M WESLEY (OWNER) |
| Authorized Official Telephone | 7634783505 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3061 | MN | Eye and Vision Services Providers |
| Street Address |
922 HIGHWAY 55 SUITE 300 |
| City | MEDINA |
| State | MN |
| Zip Code | 55340-9545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093840431 | Richard Leif Johnson | Chiropractor | 20010 75th Avenue North, Corcoran, MN 55340 | 2007-02-23 |
| 1285786293 | Hassan Ismail | Dentist | 1090 Shingle Creek Crossing, Aspen Dental, Brooklyn Center, MN 55340 | 2007-01-18 |
| 1396850558 | Fortin Health & Wellness Clinic, Pa | Chiropractor | 149 Hamel Road, Hamel, MN 55340 | 2006-08-20 |
| 1154943199 | Augustana Senior Development II | Assisted Living Facility | 4350 Chippewa Ct, Medina, MN 55340-4013 | 2020-05-13 |
| 1851777239 | Shelly Jean Blanchard | Marriage & Family Therapist | 6552 Carriage Way, Corcoran, MN 55340-4443 | 2015-08-07 |
| 1841766904 | Amy B Johnson | Social Worker | 6552 Carriage Way, Corcoran, MN 55340-4443 | 2018-10-16 |
| 1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
| 1841641933 | Kari Anna Hultgren | Physician Assistant | 170 Prairie Creek Rd, Medina, MN 55340-4505 | 2016-06-29 |
| 1922526334 | All Smiles Dental Pa | Dentist | 212 Clydesdale Trl, Medina, MN 55340-4513 | 2017-09-06 |
| 1093768475 | Jeffrey A Ristau | Pharmacist | 300 Clydesdale Trl, T-2223, Medina, MN 55340-4538 | 2006-05-18 |
| Find all providers in zip 55340 | ||||
| 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 |
|---|---|---|---|---|
| 1063860997 | Joelle Holland | Optometrist | 170 Westfalen Trl, Medina, MN 55340-4621 | 2016-06-01 |
| 1548600414 | Jennifer Taylor Elder | Optometrist | 615 Highway 45 Byp S, Medina, TN 38355-9629 | 2013-06-25 |
| 1306284229 | Medina Eye Clinic PC | Optometrist | 615 Hwy 45 South, Medina, TN 38355-0479 | 2013-06-13 |
| 1558553784 | Rose B. Dickerhoof, O.d.,inc. | Optometrist | 837 N Court St, Medina, OH 44256-1718 | 2007-08-12 |
| 1467577502 | Drs. Milburn - Medina, Inc. | Optometrist | 409 North Court St, Medina, OH 44256 | 2007-03-20 |
| 1083755037 | Molly Lee | Optometrist | 25 Middle School Road, Medina, TN 38355 | 2007-02-11 |
| 1306929641 | Timothy Michael Milburn | Optometrist | 735 N Court St, Medina, OH 44256-1767 | 2006-10-23 |
| 1639273949 | Rose Barnes Dickerhoof | Optometrist | 837 N. Court St., Medina, OH 44256-9504 | 2006-09-08 |
| 1992738652 | Gina Marie Wesley | Optometrist | 922 Highway 55 Ste 300, Medina, MN 55340-9771 | 2006-07-08 |
| 1629065149 | Timothy W. Earley | Optometrist | 4463 Weymouth Rd, Medina, OH 44256-9249 | 2005-09-30 |
| Find all providers in MEDINA | ||||
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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.