DR. KAITLYN HUEBSCH HOLLENBACH


Address: 409 Dunlap St N, Saint Paul, MN 55104-4201
Phone: 6512909200

DR. KAITLYN HUEBSCH HOLLENBACH (NPI# 1689154429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689154429
Entity Type Individual
Full Name DR. KAITLYN HUEBSCH HOLLENBACH
Credential OD, FAAO
Practice Address 409 Dunlap St N
Saint Paul
MN 55104-4201
Mailing Address 222 Hennepin Ave S Apt 329
Minneapolis
MN 55401-2478
Practice Telephone 6512909200
Practice Fax Number 6512909211
Mailing Telephone 3195517615
Enumeration Date 2018-08-21
Last Update Date 2020-02-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3650 MN Eye and Vision Services Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2716 Lincoln Dr, Roseville, MN 551131333 6516319394
420 N James Rd, Columbus, OH 432191834 6142575200

Office Location

Street Address 409 DUNLAP ST N
City SAINT PAUL
State MN
Zip Code 55104-4201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326048604 Todd Alan Volk Chiropractor 409 Dunlap St N, Saint Paul, MN 55104-4201 2005-07-28
1093359457 Jill Allyne Helgemoe Marriage & Family Therapist 409 Dunlap St N, Saint Paul, MN 55104-4201 2019-10-29
1770098550 Millie Ann Slabber Dental Hygienist 409 Dunlap St N, Saint Paul, MN 55104-4201 2017-12-03
1558736843 Ijeoma Ogbonnaya Nurse Practitioner 409 Dunlap St N, Saint Paul, MN 55104-4201 2015-12-11
1942673447 Ogbitse Maureen Atake Nurse Practitioner 409 Dunlap St N, Saint Paul, MN 55104-4201 2015-11-05
1487034625 Madeline Young Dietitian, Registered 409 Dunlap St N, Saint Paul, MN 55104-4201 2015-06-03
1114305927 Cynthia Woods Internal Medicine 409 Dunlap St N, Saint Paul, MN 55104-4201 2015-05-12
1326430661 Lauren Peterson Physician Assistant 409 Dunlap St N, Saint Paul, MN 55104-4201 2015-02-24
1467854216 Sagal Nur Dentist 409 Dunlap St N, Saint Paul, MN 55104-4201 2014-09-24
1245644590 Laura Wild Dentist 409 Dunlap St N, Saint Paul, MN 55104-4201 2014-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891339131 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 2019-10-30
1629541644 Michael P Cain Counselor 1821 University Ave West, Suite N385, St. Paul, MN 55104 2019-01-03
1295219657 Awaken Recovery Center L.l.c Counselor 400 Suite D 393 North Dunlap, St Paul, MN 55104 2018-09-21
1285115634 American Current Care of Minnesota PC Clinic/Center 570 Asbury St Ste 101, Saint Paul, MN 55104 2018-08-23
1699262501 B & M Vital Homecare LLC. Home Health 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 2018-04-16
1134621600 Lauren Fullerton Counselor 1821 University Ave W., Suite N385, St. Paul, MN 55104 2018-03-01
1265944672 Megan Manning Marriage & Family Therapist 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 2017-10-26
1801305131 Foncham Buma Foncham Registered Nurse 856 University Avenue, W, St. Paul, MN 55104 2017-09-29
1750802476 Ha Vo Counselor 451 Lexington Parkway North, St. Paul, MN 55104 2017-07-03
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699399592 Nicole Rene Schmiedt Optometrist 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 2020-06-05
1982247870 Lauren K Haverly LLC Optometrist 272 Snelling Ave S Ste 300, Saint Paul, MN 55105-2045 2019-10-23
1124506852 Amanda Mcmullen Optometrist 2716 Lincoln Dr, Saint Paul, MN 55113-1333 2018-08-03
1306218995 Village Eye Care LLC Optometrist 1001 Johnson Pkwy Ste B15, Saint Paul, MN 55106-3696 2015-10-22
1326488008 Matthew K Anderson Optometrist 506 7th St W, Saint Paul, MN 55102 2013-06-26
1518232149 Solomon M Gould Optometrist 1995 Burns Ave Ste B, Saint Paul, MN 55119-4906 2012-03-15
1912224767 The Spectacle Shoppe Inc Optometrist 1089 Grand Ave, Saint Paul, MN 55105-3002 2010-05-03
1740515832 Gaile Kristine Philipp Optometrist 3001 White Bear Ave N Ste 1050, Saint Paul, MN 55109-1283 2009-10-07
1982769501 Calvin Optometry Pllc Optometrist 1995 Burns Ave., Suite B, Saint Paul, MN 55119-4906 2006-12-26
1194884635 Troy E Randgaard Optometrist 2034 Ford Pkwy, Saint Paul, MN 55116-1931 2006-12-08
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55104

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Dataset Information

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.

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