EDINA EYE CLINIC PA (NPI# 1952359275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952359275 |
| Entity Type | Organization |
| Organization Name | EDINA EYE CLINIC PA |
| Practice Address |
3939 W 50th St Ste 200 Edina MN 55424-1285 |
| Mailing Address |
3939 W 50th St Ste. 200 Edina MN 55424-1244 |
| Practice Telephone | 9529202020 |
| Practice Fax Number | 9529203225 |
| Mailing Telephone | 9529202020 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | RHONDI SUE MEIUSI (PRESIDENT) |
| Authorized Official Telephone | 6128655622 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
584 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 7408102 | 05 |
| Street Address |
3939 W 50TH ST STE 200 |
| City | EDINA |
| State | MN |
| Zip Code | 55424-1285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700810538 | Shawn James Gross | Ophthalmology | 3939 W 50th St Ste 200, Edina, MN 55424-1258 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824084 | Jamie Bradley | Midwife | 6240 Peacedale Avenue, Edina, MN 55424 | 2018-03-16 |
| 1467987313 | Lisa Sorensen | Psychologist | 5200 Willson Road, #445, Edina, MN 55424 | 2017-04-28 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1396935219 | Michele Frances Dodds | Psychologist | 3948 West 50th St, #207, Edina, MN 55424 | 2007-07-26 |
| 1245452168 | Margo Ellen Arens | Physical Therapist | 6025 St. John's Ave., Edina, MN 55424 | 2007-05-02 |
| 1215095435 | Kristie J Anderson | Nurse Practitioner | 6905 York Ave S, Edina, MN 55424 | 2006-12-04 |
| 1821199852 | Michael T Kratz Dds Pa | Dentist | 3939 W 50th Street, #208, Edina, MN 55424 | 2006-09-25 |
| 1649747114 | Elizabeth Davin | Physician Assistant | 6905 York Ave S, Edina, MN 55424 | 2018-11-01 |
| 1245606326 | Forefront Dermatology, S.c. | Dermatology | 3916 W 50th St, Edina, MN 55424 | 2015-08-12 |
| 1316346950 | Brooke A Moss | Physician Assistant | 4100 W 50th St, Edina, MN 55424 | 2014-08-20 |
| Find all providers in zip 55424 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1538599790 | Fairview Health Services | Clinic/Center | 6405 France Ave S, Suite 480, Edina, MN 55435 | 2013-11-25 |
| 1447493390 | Portable Diagnostic Imaging, Inc. | Clinic/Center | 6545 France Ave S, Suite C 62a, Edina, MN 55435-2131 | 2009-04-08 |
| 1801055066 | Plastic Surgery Consultants, Ltd. | Clinic/Center | 3300 Edinborough Way, Suite 505, Edina, MN 55435-5923 | 2008-06-03 |
| 1306025275 | Minnesota Gynecology & Surgery | Clinic/Center | 7450 France Ave S, Suite 240, Edina, MN 55435-4787 | 2007-10-29 |
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| 1316369911 | New Leaf Medical, Pllc | Clinic/Center | 3622 County Road 101 S, Wayzata, MN 55391-3424 | 2014-01-16 |
| 1861825093 | Active Feet, Foot & Ankle Health Center | Clinic/Center | 10995 Club West Pkwy Ste 300, Blaine, MN 55449-5861 | 2013-08-12 |
| 1841538808 | White Dandelion Chinese Medicine L.L.C. | Clinic/Center | 108 3rd St E, Northfield, MN 55057-2050 | 2013-01-27 |
| 1831409234 | Princeton Chiropractic Clinic LLC | Clinic/Center | 501 4th St S Ste 101, Princeton, MN 55371-4754 | 2010-10-19 |
| 1629252101 | Paula Allenburg, Ltd | Clinic/Center | 2415 Emerson Ave S, Minneapolis, MN 55405-2602 | 2007-12-20 |
| 1851516397 | Skin Care Doctors, P.a. | Clinic/Center | 14000 Nicollet Ave Ste 304, Burnsville, MN 55337-5784 | 2007-04-17 |
| 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.