DR. RYAN M. FEDOR (NPI# 1518998996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518998996 |
| Entity Type | Individual |
| Full Name | DR. RYAN M. FEDOR |
| Credential | O.D. |
| Practice Address |
2950 Curve Crest Blvd W Stillwater MN 55082 |
| Mailing Address |
1719 Tower Dr W Ste 100 Stillwater MN 55082-7512 |
| Practice Telephone | 6512753000 |
| Practice Fax Number | 6512753027 |
| Mailing Telephone | 6512753000 |
| Mailing Fax Number | 6512753027 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3016 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 367199200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14688 Everton Ave N Ste 106, Hugo, MN 550386072 | 6512753000 | 6512753027 |
| 1625 Radio Dr Ste 310, Woodbury, MN 551259410 | 6512753000 | 6512753027 |
| 237 Radio Dr Ste 100, Woodbury, MN 551254478 | 6512753000 | 6512753027 |
| 280 Smith Ave N Ste 840, Saint Paul, MN 551022454 | 6512753000 | 6512753027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740509850 | Ryan Fedor | Pharmacist | 12130 Jefferson Ave, Newport News, VA 23602-6908 | 2010-05-28 |
| Street Address |
2950 CURVE CREST BLVD W |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760886 | Evan A Ballard | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2005-06-15 |
| 1780243691 | Nicole Harris | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2019-06-13 |
| 1063908564 | Alexandra Mae Literski | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2018-07-09 |
| 1326577024 | Laura Capelle | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2017-06-06 |
| 1720439466 | Casey William Bateman | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2016-06-23 |
| 1598144099 | Sean Michael Lavallie | Optometrist | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2015-05-29 |
| 1285921924 | Brian J Tienor | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2011-07-01 |
| 1063704294 | Jesse Vislisel | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082 | 2011-05-05 |
| 1376657684 | Adam D Goddard | Ophthalmology | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2006-08-17 |
| 1891704953 | Associated Eye Care Optical LLC | Eyewear Supplier (Equipment, not the service) | 2950 Curve Crest Blvd W, Stillwater, MN 55082-5085 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| 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 |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1558723411 | Mjh LLC | Optometrist | 1903 Greeley St S, Stillwater, MN 55082-6012 | 2016-03-22 |
| 1306978044 | Cockrell Eyecare Center | Optometrist | 1711 W 6th, Stillwater, OK 74074-4200 | 2007-03-09 |
| 1891881512 | Wendy Seyller | Optometrist | 13481 60th St N Suite 200, St Croix Vision Center, Stillwater, MN 55082 | 2006-10-04 |
| 1699706515 | Kristel Ann Rogers | Optometrist | 1719 Tower Dr W Ste 100, Stillwater, MN 55082-7512 | 2006-07-06 |
| 1649211301 | Brian R Gumm | Optometrist | 2123 W 6th Ave, Stillwater, OK 74074-4136 | 2006-06-10 |
| 1902878127 | Robert Craig Hochhalter | Optometrist | 6303 Osgood Ave N, Stillwater, MN 55082-6101 | 2006-02-02 |
| 1073597670 | Angela P. Johnson | Optometrist | 13481 60th St N, Suite 200, Stillwater, MN 55082-1055 | 2005-12-06 |
| 1720070253 | Monty Larue Snowden | Optometrist | 420 S Knoblock St, Stillwater, OK 74074-3024 | 2005-08-19 |
| 1295737872 | David A Cockrell | Optometrist | 1711 W 6th Ave, Stillwater, OK 74074-4200 | 2005-08-12 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
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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.