DR. MARK ROBERT HALLSTROM (NPI# 1710274303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710274303 |
| Entity Type | Individual |
| Full Name | DR. MARK ROBERT HALLSTROM |
| Credential | O.D. |
| Practice Address |
2311 Wayzata Blvd S Minneapolis MN 55405-2119 |
| Practice Telephone | 6123775192 |
| Mailing Telephone | 6123775192 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3233 | MN | Eye and Vision Services Providers |
| Street Address |
2311 WAYZATA BLVD S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55405-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373689 | Minneapolis Health & Wellness Ne, LLC | Physical Therapist | 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 | 2019-03-01 |
| 1033673967 | Amy Fitzgerald | Counselor | 2915 South Wayzata Boulevard, Minneapolis, MN 55405 | 2019-01-24 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1154786523 | Sophia Bouwens | Acupuncturist | 275 Market St Ste 409, Minneapolis, MN 55405 | 2015-12-29 |
| 1912362732 | Anna Needham | Acupuncturist | 2200 Hennepin Ave S, Minneapolis, MN 55405 | 2015-12-21 |
| 1821423740 | Aja Dionna King | Counselor | 227 Colfax Ave N Ste 15, Minneapolis, MN 55405 | 2013-09-10 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1396022117 | Sharri Peterson Rogers | Marriage & Family Therapist | 2809 South Wayzata Blvd, Minneapolis, MN 55405 | 2011-11-08 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| Find all providers in zip 55405 | ||||
| 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 |
|---|---|---|---|---|
| 1992331359 | Megan Kaye Horter | Optometrist | 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 | 2020-03-18 |
| 1770069494 | Emmalee Toldo | Optometrist | 710 E 24th St Ste 100, Minneapolis, MN 55404-3897 | 2018-07-16 |
| 1194216598 | Sean Templeman | Optometrist | 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 | 2018-05-22 |
| 1053824045 | Moulay Younes Elidrissi | Optometrist | 720 W Lake St # 107, Minneapolis, MN 55408-2963 | 2017-11-13 |
| 1811392947 | Olson Eye Care, Pllc | Optometrist | 330 Quincy St Ne, Minneapolis, MN 55413-2314 | 2014-10-31 |
| 1255733309 | Paula Moy | Optometrist | 2215 Park Ave Ste 406, Minneapolis, MN 55404 | 2014-09-19 |
| 1962840371 | See Inc | Optometrist | 3032 Hennepin Ave, Minneapolis, MN 55408-2614 | 2013-06-07 |
| 1942647458 | Global Vision, LLC | Optometrist | 2955 Chicago Ave, Minneapolis, MN 55407-1321 | 2013-05-24 |
| 1518221225 | Andrea Vanmeter | Optometrist | 225 Main St Se, Minneapolis, MN 55414-2124 | 2012-06-27 |
| 1396023735 | Maria Majewicz Andrews | Optometrist | 3102 W 50th St, Minneapolis, MN 55410-2101 | 2011-08-03 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55405 |
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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.