DR. PAMELA JO RUPNOW (NPI# 1760456479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760456479 |
| Entity Type | Individual |
| Full Name | DR. PAMELA JO RUPNOW |
| Credential | O.D. |
| Practice Address |
19645 Pilot Knob Rd Suite 106 Farmington MN 55024-7239 |
| Mailing Address |
19645 Pilot Knob Rd Ste 106 Farmington MN 55024-7240 |
| Practice Telephone | 6514632020 |
| Practice Fax Number | 6514632066 |
| Mailing Telephone | 9529481357 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2018-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2499 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 084015400 | 05 | |
| MN | BLUE CROSS/BLUE SHIELD | 30041RU | 01 |
| MN | PREFERRED ONE HEALTH PLAN | 1016339 | 01 |
| MN | PATIENT'S CHOICE | 113289 | 01 |
| MN | UCARE | 114544 | 01 |
| MN | MEDICA HEALTH PLAN | 2201169 | 01 |
| MN | AMERICA'S PPO | 26019 | 01 |
| Street Address |
19645 PILOT KNOB RD SUITE 106 |
| City | FARMINGTON |
| State | MN |
| Zip Code | 55024-7239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467405456 | Dental Health Center, Dds, Pa | Dentist | 19645 Pilot Knob Rd, Farmington, MN 55024-7239 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758158 | Renetia Jackson | Technician | 1210 Spruce Street, Farmington, MN 55024 | 2019-09-10 |
| 1871094912 | Megan Provost | Registered Nurse | 17680 Formosa Ave, Farmington, MN 55024 | 2018-02-23 |
| 1356752463 | Your Vision Achieved, LLC | Marriage & Family Therapist | 5404 187th Street West, Farmington, MN 55024 | 2014-05-12 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1053680991 | Annie Lee Mickelson | Chiropractor | 20700 Chippendale Ave Suite 7, Farmington, MN 55024 | 2011-12-21 |
| 1770770828 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 19605 Pilot Knob Rd., Farmington, MN 55024 | 2007-10-02 |
| 1275725277 | Family Vision Clinic of Farmington | Optometrist | 19650 Pilot Knob Road, Farmington, MN 55024 | 2007-08-14 |
| 1871503136 | Independent School District #192 | Early Intervention Provider Agency | 20655 Flagstaff Avenue, Farmington, MN 55024 | 2006-08-09 |
| 1588692669 | Northfield Hospital | Clinic/Center | 4645 Knutsen Dr, Farmington, MN 55024 | 2006-06-29 |
| 1902887284 | David E Truax | Chiropractor | 20700 Chippendale Ave, Suite 7, Farmington, MN 55024 | 2005-11-14 |
| Find all providers in zip 55024 | ||||
| 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 |
|---|---|---|---|---|
| 1750991345 | Connecticut Children's Eye Care, P.C. | Optometrist | 599 Farmington Ave Ste 201, Farmington, CT 06032-2356 | 2020-08-07 |
| 1689162133 | Daniel & Max LLC | Optometrist | 4906 E Main St, Farmington, NM 87402-8609 | 2018-04-30 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| 1164806782 | Heather Anita Zimmerman | Optometrist | 101 New Meadow Run Drive, Oak Valley Medical and Dental, PC, Farmington, PA 15437-0010 | 2015-07-14 |
| 1134522493 | Amanda Colburn | Optometrist | 113 W. Broadway, Farmington, NM 87401 | 2014-10-01 |
| 1194124453 | Eyedocare,corp | Optometrist | 500 Westfarms Mall, Farmington, CT 06032-2615 | 2014-08-22 |
| 1154762516 | Steven Saramanidis | Optometrist | 2 Horseshoe Ln, Farmington, CT 06032-2106 | 2013-07-15 |
| 1295966927 | Megan Lynn Crowell | Optometrist | 537 W Karsch Blvd, Farmington, MO 63640-3312 | 2009-07-29 |
| 1225203276 | Bob Hollis Lype | Optometrist | 544 Maple Valley Dr, Farmington, MO 63640-1981 | 2008-04-29 |
| 1700075843 | Skyview Eyecare Inc | Optometrist | 3450 E Main St, Farmington, NM 87402-5327 | 2007-10-15 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 55024 |
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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.