MR. JEFFREY PAUL SANDERSON (NPI# 1669464970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669464970 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY PAUL SANDERSON |
| Credential | M.D. |
| Practice Address |
5137 Gus Young Lane Sanderson Eye Specialists Edina MN 55436 |
| Practice Telephone | 9526416226 |
| Practice Fax Number | 9526416229 |
| Mailing Telephone | 9526416226 |
| Mailing Fax Number | 9526416229 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2015-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 200513762 | MO | Other Service Providers |
| Y | 207W00000X | Ophthalmology | 44481 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336241363 | Jeffrey Robert Sanderson | Surgery | 4 Park Lane, New Milford, CT 06776 | 2006-09-01 |
| 1558354977 | Jeffrey Sanderson | Physical Medicine & Rehabilitation | 405 Tallmadge Rd, Ste. 120, Cuyahoga Falls, OH 44221-3362 | 2005-08-31 |
| Street Address |
5137 GUS YOUNG LANE SANDERSON EYE SPECIALISTS |
| City | EDINA |
| State | MN |
| Zip Code | 55436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457584336 | Sanderson Eye Pllc | Ophthalmology | 5137 Gus Young Lane, Edina, MN 55436-1530 | 2009-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| Find all providers in zip 55436 | ||||
| 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 |
|---|---|---|---|---|
| 1093058158 | Hao Tang | Ophthalmology | 7760 France Ave S Ste 310, Edina, MN 55435 | 2013-03-27 |
| 1407112881 | Phillip Michael Armand Radke | Ophthalmology | 7450 France Ave S Ste 100, Edina, MN 55435-4799 | 2012-04-10 |
| 1336360593 | Carroll Duane Rund | Ophthalmology | 6533 Drew Ave South, Edina, MN 55435 | 2007-05-02 |
| 1649285503 | Wesley Dale Sondreal | Ophthalmology | 3939 W 50th St, Ste. 200, Edina, MN 55424-1244 | 2006-07-29 |
| 1568880755 | Raymond C Croissant Md Pa | Ophthalmology | 6533 Drew Ave S, Edina, MN 55435-2103 | 2014-04-03 |
| 1851717136 | Eric Richard Nelson Md | Ophthalmology | 6405 France Ave S, Suite W460, Edina, MN 55435-2163 | 2014-03-11 |
| 1265733471 | Cornea and Contact Lens Institute of Minnesota | Ophthalmology | 5137 Gus Young Ln, Edina, MN 55436-1530 | 2010-11-04 |
| 1093032435 | Adam Matthew Moss | Ophthalmology | 3100 W 70th St, Edina, MN 55435-4227 | 2010-04-26 |
| 1609103209 | Horn Ophthalmology Inc | Ophthalmology | 6533 Drew Ave S, Edina, MN 55435-2103 | 2009-11-03 |
| 1457584336 | Sanderson Eye Pllc | Ophthalmology | 5137 Gus Young Lane, Edina, MN 55436-1530 | 2009-08-26 |
| Find all providers in EDINA | ||||
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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.