TRENT N. THIELKE (NPI# 1760628788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760628788 |
| Entity Type | Individual |
| Full Name | TRENT N. THIELKE |
| Credential | O.D. |
| Practice Address |
2080 Woodwinds Dr Ste 110 Woodbury MN 55125-2524 |
| Practice Telephone | 6517386800 |
| Mailing Telephone | 6517386800 |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2016-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3183 | MN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 3145-035 | WI | Eye and Vision Services Providers |
| Street Address |
2080 WOODWINDS DR STE 110 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952324048 | Alan E. Hein | Optometrist | 2080 Woodwinds Dr Ste 110, Woodbury, MN 55125-2537 | 2006-07-26 |
| 1497194112 | Sonja Iverson-hill | Optometrist | 2080 Woodwinds Dr Ste 110, Woodbury, MN 55125-2537 | 2013-06-15 |
| 1033408299 | Douglas Dworak | Ophthalmology | 2080 Woodwinds Dr Ste 110, Woodbury, MN 55125 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| 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 |
|---|---|---|---|---|
| 1083266126 | Heather Jackson | Optometrist | 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 | 2019-07-09 |
| 1770886285 | Sunny Nguyen | Optometrist | 318 Syosset Woodbury Rd, Woodbury, NY 11797-1215 | 2010-12-06 |
| 1487962478 | Marta Bakouris | Optometrist | 9965 Hudson Pl, Woodbury, MN 55125-9401 | 2010-09-23 |
| 1093948259 | Ryan Daniel Johnson | Optometrist | 8362 Tamarack Village, Rm 108, Woodbury, MN 55125-3392 | 2009-09-03 |
| 1790994382 | Filomena Agnes Rosano Fiore | Optometrist | 7933 Jericho Tpke, Woodbury, NY 11797-1210 | 2007-05-21 |
| 1568516953 | Horner Family Eyecare, Inc. | Optometrist | 8360 City Centre Drive, #140, Woodbury, MN 55125 | 2007-01-22 |
| 1184774614 | Marcus Donn Morben | Optometrist | 8362 Tamarack Vlg, #108, Woodbury, MN 55125-3392 | 2007-01-10 |
| 1356405153 | Dale Stein and Associates, O.d.,p.c. | Optometrist | 1750 Clements Bridge Rd, 2e5b Deptford Mall, Woodbury, NJ 08096-2010 | 2006-12-19 |
| 1134291487 | James Brekke | Optometrist | 7150 Valley Creek Plz, Suite 216, Woodbury, MN 55125-2271 | 2006-11-14 |
| 1083792097 | David Bertin Ness | Optometrist | 7150 Valley Creek Plz Ste 216, Woodbury, MN 55125-2271 | 2006-11-01 |
| Find all providers in WOODBURY | ||||
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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.