AI SOUNDARA (NPI# 1912286584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912286584 |
| Entity Type | Individual |
| Full Name | AI SOUNDARA |
| Credential | O.D. |
| Practice Address |
3745 Louisiana Ave S St Louis Park MN 55426-4361 |
| Practice Telephone | 9529261775 |
| Practice Fax Number | 9529263845 |
| Mailing Telephone | 9529261775 |
| Mailing Fax Number | 9529263845 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3253 | MN | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
3253 | MN | Eye and Vision Services Providers |
| Street Address |
3745 LOUISIANA AVE S |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417313784 | Kelley Nicole Moore | Pharmacist | 3745 Louisiana Ave S, St Louis Park, MN 55426-4361 | 2016-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| 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 |
|---|---|---|---|---|
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1306365846 | Roman Gerber LLC | Optometrist | 3820 Grand Way, St Louis Park, MN 55416-4903 | 2017-09-15 |
| 1831486372 | Roman Boris Gerber | Optometrist | 3840 Grand Way, St Louis Park, MN 55416-4788 | 2011-07-05 |
| 1760610174 | Elizabeth M Johnson | Optometrist | 5103 Minnetonka Blvd, St Louis Park, MN 55416-2201 | 2009-06-24 |
| 1073664421 | Alan H. Diamond | Optometrist | 7204 Minnetonka Blvd, St Louis Park, MN 55426-3210 | 2007-01-14 |
| 1003359597 | Icare Family Vision Plc | Optometrist | 5103 Minnetonka Blvd, St Louis Park, MN 55416-2201 | 2016-12-01 |
| 1073980454 | Teresa Slepicka | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2015-09-01 |
| 1164837373 | Erin Marie Sinkoff | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 | 2014-06-25 |
| 1821338484 | On Call Medical Inc | Optometrist | 5861 Cedar Lake Rd S, St Louis Park, MN 55416-1481 | 2013-02-19 |
| 1477827236 | Christine Kroll | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2012-02-26 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
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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.