MICHAEL WALLERICH (NPI# 1881135093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881135093 |
| Entity Type | Individual |
| Full Name | MICHAEL WALLERICH |
| Credential | OD |
| Practice Address |
6600 Lyndale Ave S Ste 130 Richfield MN 55423 |
| Mailing Address |
6600 Lyndale Ave S Ste 130 Richfield MN 55423-3398 |
| Practice Telephone | 6122438999 |
| Practice Fax Number | 6128693473 |
| Mailing Telephone | 6122438999 |
| Mailing Fax Number | 6128693473 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3573 | MN | Eye and Vision Services Providers |
| Street Address |
6600 LYNDALE AVE S STE 130 |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922112515 | Craig R Marsh | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423 | 2006-08-19 |
| 1184028193 | Eric Nelson | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 | 2014-10-20 |
| 1750720876 | Todd Aaron Peabody | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423 | 2013-06-21 |
| 1134412802 | Karimah Z Shabazz | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 | 2011-05-27 |
| 1225144850 | Eric Wayne Affeldt | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| 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 |
|---|---|---|---|---|
| 1124407416 | Susan Hemann | Optometrist | 6601 Lyndale Ave S Ste 160, Richfield, MN 55423-2690 | 2015-05-20 |
| 1528310869 | Amanda Ann Pojanowski | Optometrist | 6625 Lyndale Ave S Ste 300, Richfield, MN 55423-2491 | 2012-10-10 |
| 1871764753 | Yardley Companies Inc | Optometrist | 90 E Center St, Richfield, UT 84701-2528 | 2008-03-18 |
| 1013018084 | Richard I Yardley | Optometrist | 90 East Center, Richfield, UT 84701 | 2006-09-25 |
| 1063526432 | Harold Brent Parker | Optometrist | 120 E 200 N, Richfield, UT 84701-2144 | 2006-08-19 |
| 1306805510 | David Mcclean Graf | Optometrist | 145 N 100 E, Richfield, UT 84701-2131 | 2006-03-17 |
| 1154877009 | Todd Albrecht Od LLC | Optometrist | 10 E 1300 S, Richfield, UT 84701-3122 | 2016-08-31 |
| 1093119018 | Raluca Otilia Sima | Optometrist | 6625 Lyndale Ave S Ste 300, Richfield, MN 55423-2491 | 2014-10-20 |
| 1770997165 | Vinh Ngo | Optometrist | 6445 Richfield Pkwy, Richfield, MN 55423-6400 | 2014-06-13 |
| 1821340159 | Kirsten M Scott | Optometrist | 6625 Lyndale Ave S Ste 300, Richfield, MN 55423-2491 | 2012-10-10 |
| Find all providers in RICHFIELD | ||||
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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.