BROOKLYN EYE CARE LLC (NPI# 1770115636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770115636 |
| Entity Type | Organization |
| Organization Name | BROOKLYN EYE CARE LLC |
| Practice Address |
9670 Colorado Ln N Brooklyn Park MN 55445-2385 |
| Mailing Address |
12828 Flanders St Ne Blaine MN 55449-6289 |
| Practice Telephone | 7638437153 |
| Mailing Telephone | 7638437153 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | DR. VIVIAN O EKEMEZIE (OPTOMETRIST) |
| Authorized Official Telephone | 7638437153 |
| Authorized Official Credential | O.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
9670 COLORADO LN N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55445-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1881173276 | Altenin C Nguyen | Registered Nurse | 8706 Oregon Ave N, Brooklyn Park, MN 55445 | 2018-08-07 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1578001178 | Peaceful Living Professionals, LLC | Community/Behavioral Health | 6901 78th Ave No, Suite 102, Brooklyn Park, MN 55445 | 2017-02-03 |
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1174876171 | Rebecca Parkin | Occupational Therapist | 6732 83rd Place North, Brooklyn Park, MN 55445 | 2012-10-16 |
| 1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
| 1326270778 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 7996 Brooklyn Blvd., Brooklyn Park, MN 55445 | 2009-08-19 |
| 1194947101 | Ambereen F Suhrwardy | Dentist | 6612 98th Ln N, Brooklyn Park, MN 55445 | 2007-05-02 |
| Find all providers in zip 55445 | ||||
| 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 |
|---|---|---|---|---|
| 1336231588 | Stephen Joseph Shirola | Optometrist | 6268 Boone Ave North, Brooklyn Park, MN 55428 | 2006-09-28 |
| 1548467343 | Holly Marie Bieda | Optometrist | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2007-06-27 |
| 1487715124 | Laura L Larson | Optometrist | 8000 Lakeland Ave N, Brooklyn Park, MN 55445-2403 | 2006-12-13 |
| 1326116344 | Josan Wai-tak Ko | Optometrist | 8500 Edinbrook Pkwy, Suite G, Brooklyn Park, MN 55443-3720 | 2006-11-30 |
| 1265535058 | Peter James Heinen | Optometrist | 8000 Lakeland Ave N, Walmart Vision Center, Brooklyn Park, MN 55445 | 2006-09-07 |
| 1093823122 | Rene L. Royal | Optometrist | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615069 | Eagan Eye Clinic LLC | Optometrist | 12390 Sherburne Ave, Becker, MN 55308-9147 | 2020-10-02 |
| 1750998100 | Infinity Eye Care | Optometrist | 1275 Ramsey St Ste 700, Shakopee, MN 55379-3131 | 2020-09-29 |
| 1831700798 | Muychi Timothy Vang | Optometrist | 11217 Commerce Dr N, Champlin, MN 55316-3122 | 2020-08-13 |
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1699399592 | Nicole Rene Schmiedt | Optometrist | 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 | 2020-06-05 |
| 1700409885 | Russell N Osnes Od & Associates Pa | Optometrist | 1340 Duckwood Dr Ste 14, Eagan, MN 55123-2324 | 2020-05-22 |
| 1225657067 | Viginia Ho | Optometrist | 680 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-04-12 |
| 1992331359 | Megan Kaye Horter | Optometrist | 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 | 2020-03-18 |
| 1639704232 | Barton Eye Care LLC | Optometrist | 2306 S Broadway St Ste 12, Alexandria, MN 56308-1883 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55445 |
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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.