MATHISEN OPTOMETRY,LLC (NPI# 1730319021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730319021 |
| Entity Type | Organization |
| Organization Name | MATHISEN OPTOMETRY,LLC |
| Practice Address |
5549 35th St Ne Buffalo MN 55313-3716 |
| Practice Telephone | 8732292235 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-08-05 |
| Authorized Official Name | DR. RONALD ROBIN MATHISEN (OPTOMETRIST) |
| Authorized Official Telephone | 7632292235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
223T | WY | Eye and Vision Services Providers |
| Street Address |
5549 35TH ST NE |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437188182 | Ronald Robin Mathisen | Optometrist | 5549 35th St Ne, Buffalo, MN 55313-3716 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
| Find all providers in zip 55313 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760636286 | Nicollet Vision Care Optometrists P.a. | Optometrist | 3142 Hennepin Ave S, Minneapolis, MN 55408-2619 | 2008-11-11 |
| 1366000879 | Nicole N Sheffer | Optometrist | 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN 55369-7074 | 2019-05-30 |
Please comment or provide details below to improve the information on MATHISEN OPTOMETRY,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.