HOOLIGAN ADVENTURES (NPI# 1568779643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568779643 |
| Entity Type | Organization |
| Organization Name | HOOLIGAN ADVENTURES |
| Other Organization Name | CHALA OPTICAL |
| Practice Address |
3185 Fernbrook Ln N Plymouth MN 55447-5320 |
| Practice Telephone | 6125781777 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | MR. JASON P HORNBUCKLE (OWNER) |
| Authorized Official Telephone | 6125781777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| ChaLa Optical | Doing Business As Name - Organization |
| Street Address |
3185 FERNBROOK LN N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| 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 |
|---|---|---|---|---|
| 1669998969 | Ryan Christopher Racette | Optometrist | 212 S Meadow Rd Unit 5c, Plymouth, MA 02360-5450 | 2017-08-17 |
| 1013442094 | Robert Ray Baltierra | Optometrist | 44429 Ann Arbor Rd W, Plymouth, MI 48170-3907 | 2017-04-27 |
| 1235461708 | Full Sail Partners, LLC | Optometrist | 215 N Michigan St, Plymouth, IN 46563-2134 | 2010-02-08 |
| 1982895439 | Tate Herman | Optometrist | 16875 County Road 24, Ste.301, Plymouth, MN 55447-1290 | 2007-08-08 |
| 1164637591 | Francis J Aprea Od,pc | Optometrist | 22 Chilton St, Plymouth, MA 02360-3804 | 2007-05-11 |
| 1801921408 | Dennis M Picard | Optometrist | 670 S Main St, Plymouth, MI 48170-1711 | 2007-02-22 |
| 1073654802 | Glenna Anne Waitt | Optometrist | Bjs Optical, Glenna Waitt Od, Plymouth, MA 02360 | 2007-02-12 |
| 1427198126 | Glenn Young | Optometrist | 550 Forest Ave Ste 12, Plymouth, MI 48170-1769 | 2007-02-08 |
| 1902943822 | Plymouth Vision Center, Inc. | Optometrist | 16725 Cty Rd 24, Plymouth, MN 55447 | 2007-01-31 |
| 1366508293 | Bradley J Wicklund | Optometrist | 100 Carr Rd, Plymouth, WI 53073-9500 | 2006-12-28 |
| Find all providers in PLYMOUTH | ||||
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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.