RACHEL NAOMI KNUTSON (NPI# 1760830012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760830012 |
| Entity Type | Individual |
| Full Name | RACHEL NAOMI KNUTSON |
| Credential | OD |
| Practice Address |
13195 Weaver Lake Rd Maple Grove MN 55369 |
| Mailing Address |
13195 Weaver Lake Rd Maple Grove MN 55369-9410 |
| Practice Telephone | 7634205112 |
| Mailing Telephone | 7634205112 |
| Mailing Fax Number | 7634206957 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 3472 | MN | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
3472 | MN | Eye and Vision Services Providers |
| N | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| Street Address |
13195 WEAVER LAKE RD |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215091749 | Mark Korthals | Optometrist | 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 | 2006-12-20 |
| 1104391325 | Matthew Thomas Hendricks | Optometrist | 13195 Weaver Lake Rd, Maple Grove, MN 55369 | 2018-10-04 |
| 1548753122 | Samantha Ziegler | Optometrist | 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 | 2018-06-08 |
| 1659728756 | John Mueller | Optometrist | 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 | 2016-05-18 |
| 1922347848 | Jayden2006 | Technician/Technologist | 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 | 2013-02-13 |
| 1831453455 | Brandon Bruce Larson | Optometrist | 13195 Weaver Lake Rd, Maple Grove, MN 55369 | 2012-06-28 |
| 1053540690 | Kelly Crenna | Optometrist | 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 | 2009-07-03 |
| 1346453735 | Brokea Inc. | Optometrist | 13195 Weaver Lake Rd, Maple Grove, MN 55369-9410 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265953608 | Fischer Laser Eye Center, LLC | Optometrist | 1380 E Bridge St Ste B, Redwood Falls, MN 56283-1904 | 2017-07-06 |
| 1851842660 | Fischer Laser Eye Center, LLC | Optometrist | 1805 Minnesota Ave, Suite 2, Benson, MN 56215-1778 | 2016-10-17 |
| 1467836650 | Pinecone Vision Center | Optometrist | 2180 Troop Drive, Sartell, MN 56377-4563 | 2015-07-17 |
| 1639292147 | Robert C. Dinga | Optometrist | 8344 3rd Street North, Oakdale, MN 55128 | 2007-04-09 |
| 1275626731 | Byron K Fleck | Optometrist | 4740 Mall Drive, Hermantown, MN 55811 | 2006-10-02 |
| 1831290550 | Thomas Nelson Johnson | Optometrist | 2824 W Division St, Saint Cloud, MN 56301-3800 | 2006-09-26 |
| 1124033782 | Erin Troy Bremner | Optometrist | 38 E Harvey St, Ely, MN 55731-1240 | 2006-07-30 |
| 1154343176 | Sanford Clinic North | Optometrist | 20 W Centennial 84 Drive, New York Mills, MN 56567-0364 | 2006-07-25 |
| 1295784338 | Fischer Laser Eye Center, LLC | Optometrist | 115 Washburne Ave, Paynesville, MN 56362-1640 | 2006-05-08 |
| 1386693604 | Jeffrey L Fischer | Optometrist | 1801 19th Ave Sw, Willmar, MN 56201-4946 | 2006-05-06 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on RACHEL NAOMI KNUTSON.
| 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.