MINNESOTA EYE CONSULTANTS, PA (NPI# 1508839879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508839879 |
| Entity Type | Organization |
| Organization Name | MINNESOTA EYE CONSULTANTS, PA |
| Practice Address |
9801 Dupont Ave S Suite 200 Bloomington MN 55431-3100 |
| Mailing Address |
9801 Dupont Ave S Suite 425 Bloomington MN 55431-3100 |
| Practice Telephone | 9528885800 |
| Practice Fax Number | 9528842656 |
| Mailing Telephone | 9528885800 |
| Mailing Fax Number | 9528849155 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | THOMAS SAMUELSON (OWNER) |
| Authorized Official Telephone | 9528885800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| N | 291U00000X | Clinical Medical Laboratory | 24D2023179 | MN | Laboratories |
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932173374 | Minnesota Eye Consultants, Pa | Optometrist | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-5509 | 2006-02-14 |
| 1861465064 | Minnesota Eye Consultants, Pa | Optometrist | 1965 11th Ave E, Suite 102, Maplewood, MN 55109-5167 | 2006-02-08 |
| 1326019829 | Minnesota Eye Consultants, Pa | Eyewear Supplier (Equipment, not the service) | 9801 Dupont Ave South, Suite 200, Bloomington, MN 55431-3180 | 2006-02-01 |
| 1467815357 | Minnesota Eye Consultants, Pa | Optometrist | 1347 Larpenteur Ave W, Falcon Heights, MN 55113-6302 | 2016-03-30 |
| 1104146265 | Minnesota Eye Consultants, Pa | Clinical Medical Laboratory | 11091 Ulysses St Ne, Suite 300, Blaine, MN 55434-4237 | 2010-06-10 |
| 1952452674 | Minnesota Eye Consultants, Pa | Optometrist | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2007-01-16 |
| 1205930542 | Minnesota Eye Consultants, Pa | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2006-09-08 |
| 1174596399 | Minnesota Eye Consultants, Pa | Ophthalmology | 710 E 24th St, Suite 103, Minneapolis, MN 55404-3840 | 2006-02-08 |
| 1477526747 | Minnesota Eye Consultants, Pa | Optometrist | 710 E 24th St, Suite 100, Minneapolis, MN 55404-3840 | 2006-02-08 |
| Street Address |
9801 DUPONT AVE S SUITE 200 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134114259 | Elizabeth A Davis | Ophthalmology | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2005-09-14 |
| 1124478607 | Minnesota Dental Surgery Pllc | Clinic/Center | 9801 Dupont Ave S, Bloomington, MN 55431-3100 | 2016-06-15 |
| 1205249620 | Mark Buboltz | Optometrist | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2014-06-03 |
| 1407109275 | Kasie Jean Mix | Optometrist | 9801 Dupont Ave S, Ste 200, Bloomington, MN 55431-3100 | 2012-10-18 |
| 1295097277 | Katherine Ann Montealegre | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2012-06-14 |
| 1134416605 | Thomas L Elton | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2011-07-06 |
| 1093037772 | Laura Gundale | Physician Assistant | 9801 Dupont Ave S, 425, Bloomington, MN 55431-3100 | 2010-02-22 |
| 1467787226 | Mark Spencer Hansen | Ophthalmology | 9801 Dupont Ave S, 425, Bloomington, MN 55431-3100 | 2009-10-13 |
| 1548499676 | Tara Rae Barth | Optometrist | 9801 Dupont Ave S, Ste 200, Bloomington, MN 55431-3100 | 2009-07-10 |
| 1457508988 | Noumia Cloutier-gill | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2008-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| 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 |
|---|---|---|---|---|
| 1205902772 | Harold L. Cohen, M.d., LLC | Ophthalmology | 2901 S Mcintire Dr, Bloomington, IN 47403-4209 | 2006-11-28 |
| 1932171105 | Paul M. Tani | Ophthalmology | 9801 Dupont Ave S Ste 425, Bloomington, MN 55431-3873 | 2006-02-02 |
| 1407835598 | Kenneth M Tewel Jr. | Ophthalmology | 2901 S Mcintyre Dr, Bloomington, IN 47403-4209 | 2006-01-17 |
| 1881676807 | Matthew Michael Fornefeld | Ophthalmology | 481 S Landmark Ave, Bloomington, IN 47403-5005 | 2005-11-16 |
| 1780670596 | Sumit Bhatia | Ophthalmology | 1008 N Main St, Bloomington, IL 61701-1784 | 2005-09-27 |
| 1659367423 | Yun-sen Ralph Chu | Ophthalmology | 9117 Lyndale Ave S, Bloomington, MN 55420-3522 | 2005-09-27 |
| 1134114259 | Elizabeth A Davis | Ophthalmology | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2005-09-14 |
| 1346245792 | Robert S Baller | Ophthalmology | 1228 N Towanda Avenue, Bloomington, IL 61701-3469 | 2005-06-14 |
| 1275995714 | Jefferson Berryman | Ophthalmology | 9801 Dupont Ave S Ste 200, Bloomington, MN 55431-3200 | 2016-03-23 |
| 1760746028 | Clara M Choo | Ophthalmology | 9801 Dupont Ave S Ste 200, Bloomington, MN 55431-3200 | 2012-07-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
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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.