MINNESOTA EYE CONSULTANTS, PA (NPI# 1932173374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932173374 |
| Entity Type | Organization |
| Organization Name | MINNESOTA EYE CONSULTANTS, PA |
| Practice Address |
10709 Wayzata Blvd Suite 200 Minnetonka MN 55305-5509 |
| Mailing Address |
9801 Dupont Ave S Suite 425 Bloomington MN 55431-3100 |
| Practice Telephone | 9528885800 |
| Practice Fax Number | 7635531137 |
| Mailing Telephone | 9528885800 |
| Mailing Fax Number | 9525676156 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | BRENT L WILDE (PRESIDENT) |
| Authorized Official Telephone | 9525676143 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| N | 291U00000X | Clinical Medical Laboratory | MN | Laboratories | |
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 680090400 | 05 | |
| MN | RR MEDICARE GROUP NUMBER | CG8516 | 01 |
| MN | CLIA | 24D2023185 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861465064 | Minnesota Eye Consultants, Pa | Optometrist | 1965 11th Ave E, Suite 102, Maplewood, MN 55109-5167 | 2006-02-08 |
| 1326019829 | Minnesota Eye Consultants, Pa | Eyewear Supplier (Equipment, not the service) | 9801 Dupont Ave South, Suite 200, Bloomington, MN 55431-3180 | 2006-02-01 |
| 1467815357 | Minnesota Eye Consultants, Pa | Optometrist | 1347 Larpenteur Ave W, Falcon Heights, MN 55113-6302 | 2016-03-30 |
| 1104146265 | Minnesota Eye Consultants, Pa | Clinical Medical Laboratory | 11091 Ulysses St Ne, Suite 300, Blaine, MN 55434-4237 | 2010-06-10 |
| 1952452674 | Minnesota Eye Consultants, Pa | Optometrist | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2007-01-16 |
| 1205930542 | Minnesota Eye Consultants, Pa | Optometrist | 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 | 2006-09-08 |
| 1174596399 | Minnesota Eye Consultants, Pa | Ophthalmology | 710 E 24th St, Suite 103, Minneapolis, MN 55404-3840 | 2006-02-08 |
| 1508839879 | Minnesota Eye Consultants, Pa | Optometrist | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3100 | 2006-02-08 |
| 1477526747 | Minnesota Eye Consultants, Pa | Optometrist | 710 E 24th St, Suite 100, Minneapolis, MN 55404-3840 | 2006-02-08 |
| Street Address |
10709 WAYZATA BLVD SUITE 200 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316379647 | Minnesota Eye Laser & Surgery Centers, LLC | Clinic/Center | 10709 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-5509 | 2013-08-09 |
| 1952534232 | Senior Community Services | Bus | 10709 Wayzata Blvd, Suite 111, Minnetonka, MN 55305-5509 | 2009-09-02 |
| 1780706366 | Caregivers Network of Mpls., Inc | Home Health | 10709 Wayzata Blvd, Suite 121, Minnetonka, MN 55305-5509 | 2007-04-04 |
| 1417089731 | Deborah Coen M.d. Psychiatric Services L.L.C. | Psychiatry & Neurology | 10709 Wayzata Blvd, Suite 245, Minnetonka, MN 55305-5509 | 2007-03-12 |
| 1598800732 | Ralph Edmond Mckinney | Psychologist | 10709 Wayzata Blvd, # 202, Minnetonka, MN 55305-5509 | 2007-02-21 |
| 1740219898 | Deborah Ruth Coen | Psychiatry & Neurology | 10709 Wayzata Blvd, Suite 245, Minnetonka, MN 55305-5509 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023093390 | William Keith Engel | Ophthalmology | 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343 | 2005-12-09 |
| 1437235280 | Northwest Eye Clinic, LLC | Ophthalmology | 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343-9490 | 2006-10-27 |
| 1356329189 | Richard S Freeman | Ophthalmology | 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343-9490 | 2006-01-03 |
| 1467437780 | Michael Lieppman | Ophthalmology | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290486 | Eye Care Associates, Pa | Ophthalmology | 710 E 24th St Ste 101-201, Minneapolis, MN 55404-3840 | 2018-10-12 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1790228294 | Eye Associates of Central Minnesota Pa | Ophthalmology | 628 Roosevelt Rd, Suite 101, Saint Cloud, MN 56301-4867 | 2016-12-01 |
| 1093160491 | Christina Gillmor | Ophthalmology | 516 Delaware St Se Fl 9, Minneapolis, MN 55455-0356 | 2016-05-04 |
| 1861889776 | Michael Andrew Jordan | Ophthalmology | 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 | 2015-04-17 |
| 1467872390 | Luke Dolezal | Ophthalmology | 5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 | 2014-04-17 |
| 1811330939 | James Layer | Ophthalmology | 3708 Upton Ave S, Minneapolis, MN 55410-1237 | 2013-04-08 |
| 1093058158 | Hao Tang | Ophthalmology | 7760 France Ave S Ste 310, Edina, MN 55435 | 2013-03-27 |
| 1407112881 | Phillip Michael Armand Radke | Ophthalmology | 7450 France Ave S Ste 100, Edina, MN 55435-4799 | 2012-04-10 |
| 1023374964 | Sasha Strul | Ophthalmology | 701 25th Ave S Ste 300, Minneapolis, MN 55454-1443 | 2012-04-04 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on MINNESOTA EYE CONSULTANTS, PA.
| 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.