EDINA EYE PHYSICIANS AND SURGEONS PA (NPI# 1972950814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972950814 |
| Entity Type | Organization |
| Organization Name | EDINA EYE PHYSICIANS AND SURGEONS PA |
| Practice Address |
4520 Centerville Rd Saint Paul MN 55127-3602 |
| Mailing Address |
3777 Coon Rapids Blvd Nw Ste 100 Coon Rapids MN 55433-2630 |
| Practice Telephone | 7634217420 |
| Practice Fax Number | 7634210730 |
| Mailing Telephone | 7634217420 |
| Mailing Fax Number | 7634210730 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | DELTA JORGENSEN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7635928413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710078738 | Edina Eye Physicians and Surgeons Pa | Optometrist | 209 Chalupsky Ave Se, New Prague, MN 56071-2448 | 2006-09-27 |
| 1740382274 | Edina Eye Physicians and Surgeons Pa | Optometrist | 4201 Dean Lakes Blvd, Suite 100, Shakopee, MN 55379-2829 | 2006-09-04 |
| 1114124971 | Edina Eye Physicians and Surgeons Pa | Clinic/Center | 11855 Ulysses St, Suite 140, Blaine, MN 55434 | 2007-06-27 |
| 1407903248 | Edina Eye Physicians and Surgeons Pa | Clinic/Center | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2007-01-04 |
| 1184715104 | Edina Eye Physicians and Surgeons Pa | Optometrist | 14050 Nicollet Ave, Suite 101, Burnsville, MN 55337-5710 | 2006-09-27 |
| 1629169644 | Edina Eye Physicians and Surgeons Pa | Optometrist | 111 Hundertmark Rd, Suite 105n, Chaska, MN 55318-4551 | 2006-09-27 |
| 1518058536 | Edina Eye Physicians and Surgeons Pa | Optometrist | 290 Main St Nw, Elk River, MN 55330-1270 | 2006-09-27 |
| 1427149442 | Edina Eye Physicians and Surgeons Pa | Optometrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-09-27 |
| 1477644490 | Edina Eye Physicians and Surgeons Pa | Ophthalmology | 7450 France Ave S, Suite 100, Edina, MN 55435-4787 | 2006-09-27 |
| 1538264981 | Edina Eye Physicians and Surgeons Pa | Optometrist | 560 S Maple St, Suite110, Waconia, MN 55387-1763 | 2006-09-13 |
| Street Address |
4520 CENTERVILLE RD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55127-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295238178 | Modern Dental Professionals Minnesota PC | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2018-03-16 |
| 1285084954 | North Suburban Optical | Eyewear Supplier (Equipment, not the service) | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2016-06-14 |
| 1013330521 | Pipe Trade Health Care Services | Family Medicine | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2014-02-04 |
| 1770877268 | Riley Bosch | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2011-06-02 |
| 1073779880 | Jack Davitt Baldwin | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2008-07-31 |
| 1942407432 | Lifesteps Family Physicians | Family Medicine | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2007-06-28 |
| 1043435951 | Northeast Dental, P.a. | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2007-04-16 |
| 1376669895 | Claudia De Llano | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2007-03-22 |
| 1689715237 | Christopher Michael Chmiel | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2007-02-08 |
| 1922149566 | Robert Lee Keifer | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514058 | Taylor Nessa Draves | Behavior Technician | 1011 Meadowlamds Dr, White Bear Lake, MN 55127 | 2020-10-02 |
| 1578104196 | Patricia Lynn Bina | Technician | 3677 Centerville Rd, Vadnais Heights, MN 55127 | 2019-10-04 |
| 1023538469 | Dignicare Senior Management of Vadnais | Assisted Living Facility | 580 Liberty Way, Vadnais Heights, MN 55127 | 2017-06-27 |
| 1548610207 | Golden Elderly Care Suites LLC | Assisted Living Facility | 4624 Stoddart Circle, White Bear Lake, MN 55127 | 2016-06-14 |
| 1811018203 | Adam F Curtis | Dentist | 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 | 2007-04-03 |
| 1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
| 1861404790 | Gerald James Pease | Optometrist | 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 | 2006-08-12 |
| 1235629395 | Suite Living Senior Management | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55127 | 2018-05-15 |
| 1760986624 | Diandra Shakira Williams | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127 | 2018-03-23 |
| 1811370729 | Sonya L Knudson | Psychologist | 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 | 2015-07-09 |
| Find all providers in zip 55127 | ||||
| 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 |
|---|---|---|---|---|
| 1851409395 | Diane Sione Tanabe | Ophthalmology | 280 Smith Ave N Ste 400, Lufkin Eye Clinic, Pa, Saint Paul, MN 55102-2473 | 2006-08-25 |
| 1124133764 | John C Foley | Ophthalmology | 1570 Concordia Ave, Suite 201, Saint Paul, MN 55104-4548 | 2006-08-21 |
| 1992743488 | Richard L Manka | Ophthalmology | 401 Phalen Blvd # Ms 41102e, Saint Paul, MN 55130 | 2006-06-04 |
| 1346294295 | Mark V Wedul | Ophthalmology | 1570 Concordia Ave Ste 202, Lexington Eye Associates Pa, Saint Paul, MN 55104-5345 | 2006-05-22 |
| 1538134614 | David J Eilers | Ophthalmology | 2221 Ford Pkwy, #210, Saint Paul, MN 55116-1800 | 2006-02-22 |
| 1558604926 | John Charles Zeyer | Ophthalmology | 401 Phalen Blvd, Saint Paul, MN 55130 | 2013-04-03 |
| 1225324981 | Proeyecare Associates Pa | Ophthalmology | 1570 Concordia Ave, Suite 202, Saint Paul, MN 55104-5338 | 2011-06-21 |
| 1679787055 | Charles Chang Hee Kim | Ophthalmology | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2007-05-09 |
| 1962525501 | John T Knapp | Ophthalmology | 2500 Como Ave, Saint Paul, MN 55108 | 2007-04-09 |
| 1790836633 | Gene W Chen | Ophthalmology | 2500 Como Ave, Saint Paul, MN 55108 | 2007-01-16 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55127 |
Please comment or provide details below to improve the information on EDINA EYE PHYSICIANS AND SURGEONS 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.