LISA JO HOLTMAN (NPI# 1710407622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710407622 |
| Entity Type | Individual |
| Full Name | LISA JO HOLTMAN |
| Practice Address |
1004 County Road 42 E Burnsville MN 55337-4652 |
| Practice Telephone | 9528941400 |
| Practice Fax Number | 9528082216 |
| Mailing Telephone | 9528941400 |
| Mailing Fax Number | 9528082216 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3691 | MN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 948 | NH | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17690 Kenwood Trl, Lakeville, MN 550449764 | 9528989588 | 9528982030 |
| Street Address |
1004 COUNTY ROAD 42 E |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| 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 |
|---|---|---|---|---|
| 1780161539 | Stacy Perreault | Optometrist | 915 County Road 42 W Ste 2036, Burnsville, MN 55306-4427 | 2018-07-24 |
| 1639555261 | Brubaker Vision LLC | Optometrist | 11712 Galtier Dr, Burnsville, MN 55337-3208 | 2015-08-05 |
| 1467712133 | Emily Ann Ufken | Optometrist | 1004 Country Rd 42 East, Burnsville, MN 55337 | 2012-05-29 |
| 1235457722 | The Spectacle Shoppe Inc | Optometrist | 1178 Burnsville Ctr, Suite 201, Burnsville, MN 55306-6218 | 2010-05-10 |
| 1205070927 | Metropolitan Eye Care Specialists LLC | Optometrist | 150 Travelers Trail East, Suite D, Burnsville, MN 55337 | 2009-04-24 |
| 1710140884 | Cindy A. Alland | Optometrist | 14250 Buck Hill Rd, Sears Optical, Burnsville, MN 55306-4925 | 2008-07-08 |
| 1861568727 | Malin Craig Stakston | Optometrist | 12548 Parkwood Dr, Burnsville, MN 55337 | 2006-11-24 |
| 1730100181 | Dr. Gregory M. Macik, Optometrist, P.a. | Optometrist | 150 Traveler's Trail East, Suite D, Burnsville, MN 55337 | 2006-07-21 |
| 1043241698 | Randal P North | Optometrist | 2070-72 Burnsville Center, Burnsville, MN 55306-4438 | 2006-07-05 |
| 1740210913 | Drs. North & Watson, Optometrists P. A. | Optometrist | 2070 Burnsville Ctr # 72, Burnsville, MN 55306-4438 | 2006-07-04 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.