DEREK MICHAELIS (NPI# 1932764883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932764883 |
| Entity Type | Individual |
| Full Name | DEREK MICHAELIS |
| Practice Address |
213 W 1st St Duluth MN 55802-1909 |
| Practice Telephone | 2187271004 |
| Mailing Telephone | 2187271004 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3625 | MN | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
213 W 1ST ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568440675 | Derin John Van Loon | Optometrist | 213 W 1st St, Duluth, MN 55802-1909 | 2006-01-09 |
| 1295713303 | Kimberly Helen Watson | Optometrist | 213 W 1st St, Duluth, MN 55802-1985 | 2006-01-09 |
| 1811975931 | Derin J Van Loon Od Pa | Optometrist | 213 W 1st St, Duluth, MN 55802-1985 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| 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 |
|---|---|---|---|---|
| 1831703289 | First Class Eye Care, LLC | Optometrist | 2730 Peachtree Industrial Blvd Ste 206, Duluth, GA 30097-8628 | 2020-09-03 |
| 1073172334 | National Vision Inc | Optometrist | 5115 Burning Tree Rd Ste 311, Duluth, MN 55811-1876 | 2019-06-11 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1396263026 | Lindsay Jordan Armagon | Optometrist | 2435 Commerce Ave Bldg 2200, Duluth, GA 30096-4980 | 2017-09-01 |
| 1669909701 | Vuon Lay Nim | Optometrist | 3940 Buford Hwy Ste A104, Duluth, GA 30096-8212 | 2017-05-19 |
| 1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
| 1215312459 | Vision Pro II, Inc | Optometrist | 4920 Grand Ave, Duluth, MN 55807-2604 | 2015-07-29 |
| 1265873509 | Keping Xu | Optometrist | 2205 Pleasant Hill Rd Ste 125, Duluth, GA 30096-2308 | 2013-07-15 |
| 1275819849 | Marina L. Gurvich | Optometrist | 6555 Sugarloaf Pkwy Ste 305, Duluth, GA 30097-4929 | 2011-10-27 |
| 1619274941 | Bethel Eyecare | Optometrist | 2148 Duluth Hwy Ste 102, Duluth, GA 30097-4504 | 2011-02-23 |
| Find all providers in DULUTH | ||||
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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.