EAGAN EYE CLINIC LLC (NPI# 1548867567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548867567 |
| Entity Type | Organization |
| Organization Name | EAGAN EYE CLINIC LLC |
| Practice Address |
5809 Egan Dr Savage MN 55378-4918 |
| Mailing Address |
211 E Broadway Alton IL 62002-6220 |
| Practice Telephone | 9522262020 |
| Mailing Telephone | 6184629818 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | BENJAMIN S CHUDNER (PRESIDENT) |
| Authorized Official Telephone | 9723705552 |
| Authorized Official Credential | OD |
| Is Organization Subpart | Y |
| Parent Organization Name | EAGAN EYE CLINIC LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615069 | Eagan Eye Clinic LLC | Optometrist | 12390 Sherburne Ave, Becker, MN 55308-9147 | 2020-10-02 |
| 1760089700 | Eagan Eye Clinic LLC | Optometrist | 206 Division St, Waite Park, MN 56387-1331 | 2020-10-02 |
| 1194322131 | Eagan Eye Clinic LLC | Optometrist | 204 Washburne Ave, Paynesville, MN 56362-1643 | 2020-10-02 |
| 1528665544 | Eagan Eye Clinic LLC | Optometrist | 1545 Northway Dr Ste 120, Saint Cloud, MN 56303-1941 | 2020-10-02 |
| 1457958480 | Eagan Eye Clinic LLC | Optometrist | 103 Center Dr Ste 100, Buffalo, MN 55313-2958 | 2020-10-02 |
| 1477732337 | Eagan Eye Clinic LLC | Optometrist | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 | 2007-10-29 |
| Street Address |
5809 EGAN DR |
| City | SAVAGE |
| State | MN |
| Zip Code | 55378-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891924916 | Angela M Toney-vangrinsven | Technician/Technologist | 5809 Egan Dr, Savage, MN 55378-4918 | 2009-07-10 |
| 1508096611 | Inver Grove Heights Family Eye | Technician/Technologist | 5809 Egan Dr, Savage, MN 55378-4918 | 2009-07-23 |
| 1235369406 | Vg&b LLC | Eyewear Supplier (Equipment, not the service) | 5809 Egan Dr, Savage, MN 55378-4918 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271662 | Nlm Investment Group LLC | Home Health | 7460 South Park Drive, Savage, MN 55378 | 2019-05-20 |
| 1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
| 1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
| 1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
| 1023502580 | Cathleen J. Gempeler | Music Therapist | 4011 West Highway 13, This Address Is My Music Therapy Center, Savage, MN 55378 | 2018-06-19 |
| 1750870515 | Jamie C. Lang | Registered Nurse | 14362 Utica Ave., Savage, MN 55378 | 2018-05-08 |
| 1932643756 | Touching Lives Communities, LLC | Assisted Living Facility | 14280 Allen Drive, Savage, MN 55378 | 2016-12-13 |
| 1194267344 | Dentists of Savage, PC | Dentist | 14012 Hwy 13, Savage, MN 55378 | 2016-11-04 |
| 1518350719 | Corey Thompson | Counselor | 7675 Mn Hwy 13, Savage, MN 55378 | 2015-03-12 |
| 1679963235 | Melissa Jaeger | Dietitian, Registered | 6150 Egan Drive, Savage, MN 55378 | 2015-02-03 |
| Find all providers in zip 55378 | ||||
| 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 |
|---|---|---|---|---|
| 1982134235 | Emily Lynn Hutchins | Optometrist | 4200 W County Road 42, Savage, MN 55378-4051 | 2017-06-19 |
| 1033472865 | Paul James Fleming | Optometrist | 14734 Yosemite Ave S, Savage, MN 55378-4907 | 2012-06-18 |
| 1922291475 | Family Vision Clinic, P.C. | Optometrist | 4200 County Rd 42 W, Savage, MN 55378-4051 | 2007-08-18 |
| 1447275284 | Stefanie A. Hurst | Optometrist | 4200 County Road 42 W, Savage, MN 55378-4051 | 2006-07-13 |
| 1912982547 | James Michael Lyons | Optometrist | 14333 Hwy 13 S, Savage, MN 55378-2153 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615069 | Eagan Eye Clinic LLC | Optometrist | 12390 Sherburne Ave, Becker, MN 55308-9147 | 2020-10-02 |
| 1750998100 | Infinity Eye Care | Optometrist | 1275 Ramsey St Ste 700, Shakopee, MN 55379-3131 | 2020-09-29 |
| 1831700798 | Muychi Timothy Vang | Optometrist | 11217 Commerce Dr N, Champlin, MN 55316-3122 | 2020-08-13 |
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1699399592 | Nicole Rene Schmiedt | Optometrist | 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 | 2020-06-05 |
| 1700409885 | Russell N Osnes Od & Associates Pa | Optometrist | 1340 Duckwood Dr Ste 14, Eagan, MN 55123-2324 | 2020-05-22 |
| 1225657067 | Viginia Ho | Optometrist | 680 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-04-12 |
| 1992331359 | Megan Kaye Horter | Optometrist | 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 | 2020-03-18 |
| 1639704232 | Barton Eye Care LLC | Optometrist | 2306 S Broadway St Ste 12, Alexandria, MN 56308-1883 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
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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.