DR. ANDREW MATTSON (NPI# 1518037563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518037563 |
| Entity Type | Individual |
| Full Name | DR. ANDREW MATTSON |
| Credential | O.D. |
| Practice Address |
17690 Kenwood Trl Lakeville MN 55044-9764 |
| Mailing Address |
18160 Lansford Path Lakeville MN 55044-4956 |
| Practice Telephone | 9528989588 |
| Practice Fax Number | 9528982030 |
| Mailing Telephone | 9522120131 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | LD 2823000 | MN | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
LD 2823000 | MN | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
LD 2823000 | MN | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
LD 2823000 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | A61971031584 | 01 |
| MN | AETNA | 202779692 | 01 |
| MN | HEALTH PARTNERS | HP36326 | 01 |
| MN | WASSAU BENEFITS PC CBSA | 202779692 | 01 |
| MN | MEDICA | 22-03175 | 01 |
| MN | UNITED HEALTH CARE | 22-03175 | 01 |
| MN | 176625200 | 05 | |
| MN | BLUE CROSS BLUE SHIELD MN | 500R7MA | 01 |
| MN | BLUE PLUS | 79G34LA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376922443 | Andrew William Mattson | Dentist | 55 Roche Way, Youngstown, OH 44512-6214 | 2015-05-22 |
| Street Address |
17690 KENWOOD TRL |
| City | LAKEVILLE |
| State | MN |
| Zip Code | 55044-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427292143 | Lakeville Family Eye Care LLC | Optometrist | 17690 Kenwood Trl, Lakeville, MN 55044-9764 | 2009-04-24 |
| 1407059678 | South Suburban Eyecare Specialists Pa | Optometrist | 17690 Kenwood Trl, Lakeville, MN 55044-9764 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1164922373 | Invigorate Chiropractic, Pa | Chiropractor | 18449 Orchard Trail, Lakeville, MN 55044 | 2018-02-14 |
| 1275046344 | Kevin Schultz | Chiropractor | 18449 Orchard Tr, Lakeville, MN 55044 | 2017-11-13 |
| 1518487263 | Katarina Klementina Foster | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2017-06-23 |
| 1275069676 | Alison Marie Weaver | Physical Therapist | 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 | 2017-05-04 |
| 1184177479 | Megan Erickson | Physical Therapist | 21034 Heron Way Ste 102, Lakeville, MN 55044 | 2016-08-03 |
| 1669827523 | Kristine Louise Duhamel | Nurse Practitioner | 18275 Kenrick Avenue, Lakeville, MN 55044 | 2016-04-28 |
| 1003281536 | Heather Leann Wegner | Counselor | 16233 Kenyon Ave, Lakeville, MN 55044 | 2015-12-09 |
| 1982081295 | Dana Bungert | Specialist/Technologist | 11060 Upper 167th St W, Lakeville, MN 55044 | 2015-05-06 |
| 1265834931 | Kayla Schulz | Counselor | 7535 165th St West, Lakeville, MN 55044 | 2014-09-24 |
| Find all providers in zip 55044 | ||||
| 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 |
|---|---|---|---|---|
| 1972713873 | Loren Lee Hanson | Optometrist | 18485 Jambeau Ct, Lakeville, MN 55044-6414 | 2007-05-22 |
| 1538200787 | Focused Eye Care, Pa | Optometrist | 7634 160th St W, Lakeville, MN 55044-4442 | 2007-02-09 |
| 1700966298 | Advanced Family Eyecare Inc | Optometrist | 18576 Joplin Avenue, Lakeville, MN 55044 | 2006-10-17 |
| 1922195635 | Scott Fontana | Optometrist | 18488 Kenyon Ave, Lakeville, MN 55044-6911 | 2006-10-06 |
| 1760499537 | Amy M Rudser | Optometrist | 17685 Juniper Path, Suite 205, Lakeville, MN 55044 | 2006-08-02 |
| 1134156755 | Kamran Ahrar | Optometrist | 18576 Joplin Ave, Lakeville, MN 55044-4218 | 2006-06-27 |
| 1063484566 | Jonathan James Schorn | Optometrist | 7598 160th St W, Lakeville, MN 55044-8348 | 2006-02-07 |
| 1023090396 | Jacqueline Alice Jones | Optometrist | 10100 Deer Haven Ct, Lakeville, MN 55044-7157 | 2005-11-14 |
| 1659360436 | Anthony Michael Mcdonald | Optometrist | 20094 Kenwood Trl, Lakeville, MN 55044-5404 | 2005-10-14 |
| 1114405271 | Melissa Marie Lopez | Optometrist | 18275 Kenrick Ave, Lakeville, MN 55044-7306 | 2018-08-01 |
| Find all providers in LAKEVILLE | ||||
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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.