PAUL A. HENRIKSEN (NPI# 1821081738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821081738 |
| Entity Type | Individual |
| Full Name | PAUL A. HENRIKSEN |
| Credential | O.D. |
| Practice Address |
212 W. Main St. Pipestone MN 56164-1634 |
| Mailing Address |
Po Box 686 Pipestone MN 56164-0686 |
| Practice Telephone | 5078255444 |
| Mailing Telephone | 5078255444 |
| Mailing Fax Number | 5078255286 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-01-22 |
| NPI Deactivation Date | 03/27/2006 |
| NPI Reactivation Date | 2006-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1922 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 896523400 | 05 |
| Street Address |
212 W. MAIN ST. |
| City | PIPESTONE |
| State | MN |
| Zip Code | 56164-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225214158 | Paul A. Henriksen | Durable Medical Equipment & Medical Supplies | 212 W. Main St., Pipestone, MN 56164-1634 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336408798 | Roberta Marlene Stangeland | Registered Nurse | 609 1/2 2nd St Sw, Pipestone, MN 56164 | 2012-05-04 |
| 1144399981 | William Howard Olson | Dentist | 101 2nd St Se, Pipestone, MN 56164 | 2006-11-07 |
| 1174604607 | Cmsp Inc | Pharmacy | 802 8th Ave Se, Pipestone, MN 56164 | 2006-10-18 |
| 1568565802 | James Horgan | Psychologist | 1016 8th Ave Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1871696112 | Jarolyn Johnson | Marriage & Family Therapist | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1609837350 | Michael E Tadlock | Nurse Anesthetist, Certified Registered | 916 4th Ave. Sw, Pipestone, MN 56164 | 2006-03-31 |
| 1275636540 | Morris Patzlaff | Social Worker | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1093818379 | Rebecca Wiersma | Social Worker | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
| 1669763611 | Amy Goering Fry | Marriage & Family Therapist | 1016 8th Ave Sw # 85, Pipestone, MN 56164-1018 | 2011-04-26 |
| 1104399633 | Ashley Whipkey | Social Worker | 1016 8th Ave Sw, Pipestone, MN 56164-1018 | 2019-01-08 |
| Find all providers in zip 56164 | ||||
| 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 |
|---|---|---|---|---|
| 1851496962 | Douglas J Vermeer | Optometrist | 105 Main St W, Pipestone, MN 56164-1651 | 2006-09-13 |
| 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 | ||||
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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.