ROSEAU/WARROAD EYE CLINIC, P.A. (NPI# 1871679456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871679456 |
| Entity Type | Organization |
| Organization Name | ROSEAU/WARROAD EYE CLINIC, P.A. |
| Other Organization Name | ERICKSON DIETER OPTOMETRISTS |
| Practice Address |
306 N Main Roseau MN 56751 |
| Practice Telephone | 2184632020 |
| Practice Fax Number | 2184632055 |
| Mailing Telephone | 2184632020 |
| Mailing Fax Number | 2184632055 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | MR. ROSS JAMES OLSON (OWNER/ OPTOMETRIST) |
| Authorized Official Telephone | 2184632020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1618 | MN | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2946 | MN | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1693 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 192K5YE | 01 |
| MN | 275823700 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 13962 | 01 |
| MN | HEALTHPARTNERS | HP40537 | 01 |
| MN | 295457500 | 05 | |
| MN | 844323800 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 13951 | 01 |
| MN | HEALTHPARTNERS | HP42709 | 01 |
| Other Name | Type Code |
|---|---|
| Erickson Dieter Optometrists | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861562340 | Roseau/warroad Eye Clinic, P.a. | Optometrist | 301 Lake Street Ne, Warroad, MN 56763 | 2006-11-09 |
| Street Address |
306 N MAIN |
| City | ROSEAU |
| State | MN |
| Zip Code | 56751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739885 | David Simmons | Pharmacist | 715 Delmore Drive, Roseau, MN 56751 | 2017-02-22 |
| 1770841082 | Amber Rohde | Physical Therapist | 44371 350 St., Roseau, MN 56751 | 2012-04-25 |
| 1275632234 | Jack Victor Lundbohm | Chiropractor | 317 2nd St Nw Ste A, Roseau, MN 56751 | 2006-09-22 |
| 1558390336 | Marianne Renae Foldesi | Physician Assistant | 711 Delmore Drive, Roseau, MN 56751 | 2006-07-02 |
| 1194935619 | Ageless Care,inc | Home Health | 702 7th St Sw, Roseau, MN 56751-0000 | 2007-05-23 |
| 1235176033 | Lorris Galen Vatnsdal II | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-06-01 |
| 1336204536 | Lorris G. Vatnsdal, Ltd. | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-12-27 |
| 1164584322 | Cynthia Faye Drost-sandy | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-12-14 |
| 1952478489 | Robert Frank Larson | Dentist | 201 4th Ave Nw, Roseau, MN 56751-1033 | 2006-11-29 |
| 1063892313 | Jon Hallie | Dentist | 201 4th Ave Nw, Roseau, MN 56751-1033 | 2015-06-02 |
| Find all providers in zip 56751 | ||||
| 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 |
|---|---|---|---|---|
| 1821132754 | Devaughn Erickson | Optometrist | 306 Main Ave N, Roseau, MN 56751-1820 | 2007-02-16 |
| 1396148839 | Roseau Warroad Eye Clinic Pa | Optometrist | 306 Main Ave N, Roseau, MN 56751-1820 | 2014-09-29 |
| 1639430689 | Peter Lloyd Vatnsdal | Optometrist | 306 Main Ave N, Roseau, MN 56751-1820 | 2012-06-06 |
| 1790071132 | Ross Olson | Optometrist | 306 Main Ave N, Roseau, MN 56751-1820 | 2011-06-23 |
| 1811022890 | Angela Yee | Optometrist | 306 Main Ave N, Roseau, MN 56751-1820 | 2007-02-22 |
| 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.