IRIS VISION CARE, LLC. (NPI# 1679708887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679708887 |
| Entity Type | Organization |
| Organization Name | IRIS VISION CARE, LLC. |
| Practice Address |
1301 33rd St S Suite 104 Saint Cloud MN 56301-9668 |
| Practice Telephone | 3202814787 |
| Mailing Telephone | 3202814787 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |
| Authorized Official Name | DR. SALLY BETH JACKULA (OWNER) |
| Authorized Official Telephone | 3202814787 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2757 | MN | Ambulatory Health Care Facilities |
| Street Address |
1301 33RD ST S SUITE 104 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912559 | Kristen J Heffern | Nurse Practitioner | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2005-06-20 |
| 1649885922 | Amal Mohamed Farah | Family Medicine | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2020-09-13 |
| 1275163388 | Jamie Rae Pohlmann | Physical Therapist | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2020-01-17 |
| 1679133052 | Stephanie Marie Gagelin | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2019-06-18 |
| 1063935955 | Amanda Marilyn Michalski | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2017-07-21 |
| 1669994315 | Centracare Clinic | Clinic/Center | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2017-07-14 |
| 1568811529 | Carly Elizabeth Schmitt | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2016-06-09 |
| 1548616576 | Brianna Thour | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2016-05-09 |
| 1427439454 | Noah Helgerson | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2015-06-16 |
| 1205225224 | Jamie Marie Dockendorf | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2015-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295618 | Unutrition LLC | Clinic/Center | 500 Moonlight Ct, Saint Cloud, FL 34771-9062 | 2020-08-13 |
| 1770115537 | Therapy World LLC | Clinic/Center | 4111 Neptune Rd, Saint Cloud, FL 34769-6741 | 2020-02-10 |
| 1285198663 | Center for Life Transitions | Clinic/Center | 38 24th Ave N, Saint Cloud, MN 56303-4340 | 2019-01-30 |
| 1720561087 | Ideal Option, Pllc | Clinic/Center | 451 E Saint Germain St Ste 200, Saint Cloud, MN 56304-0759 | 2018-09-12 |
| 1083164255 | Centracare Health System | Clinic/Center | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2016-10-11 |
| 1164978219 | Centracare Clinic | Clinic/Center | 3701 12th St N, Suite 100, Saint Cloud, MN 56303-2255 | 2016-08-29 |
| 1821471962 | Breath of Life Diagnostics | Clinic/Center | 3505 Progress Ln, Saint Cloud, FL 34769-6519 | 2015-07-07 |
| 1669807897 | Centracare Health System | Clinic/Center | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2013-09-06 |
| 1275818858 | Abdul B Lodhi Md Pa | Clinic/Center | 1600 Budinger Ave Ste A, Saint Cloud, FL 34769-6007 | 2011-10-14 |
| 1982937827 | Keith Larson Neurology Pllc | Clinic/Center | 1511 Northway Dr, Suite 202, Saint Cloud, MN 56303-1261 | 2009-09-10 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
Please comment or provide details below to improve the information on IRIS VISION CARE, LLC..
| 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.