NORTHWEST EYE CLINIC, LLC (NPI# 1992044432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992044432 |
| Entity Type | Organization |
| Organization Name | NORTHWEST EYE CLINIC, LLC |
| Practice Address |
8501 Golden Valley Rd Ste 100 Golden Valley MN 55427-4472 |
| Mailing Address |
8401 Golden Valley Rd Ste 330 Golden Valley MN 55427-4488 |
| Practice Telephone | 7634167600 |
| Practice Fax Number | 7634167634 |
| Mailing Telephone | 7634167629 |
| Mailing Fax Number | 7633834147 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | KELLY PETTENGILL (CREDENTIALING AND DATA MANAGEMENT) |
| Authorized Official Telephone | 7634167629 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 360 | MN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwest Eye Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255417002 | Northwest Eye Clinic, LLC | Ophthalmology | 2601 39th Ave Ne Ste 1, St. Anthony, MN 55421 | 2006-10-27 |
| 1528144375 | Northwest Eye Clinic, LLC | Ophthalmology | 250 Central Ave N Ste 105, Wayzata, MN 55391-1207 | 2006-10-27 |
| 1437235280 | Northwest Eye Clinic, LLC | Ophthalmology | 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343-9490 | 2006-10-27 |
| 1164508917 | Northwest Eye Clinic, LLC | Ophthalmology | 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN 55369-7074 | 2006-10-27 |
| 1891871646 | Northwest Eye Clinic, LLC | Ophthalmology | 250 Central Ave N Ste 107, Wayzata, MN 55391-1207 | 2006-10-27 |
| 1497837306 | Northwest Eye Clinic, LLC | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-10-19 |
| Street Address |
8501 GOLDEN VALLEY RD STE 100 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55427-4472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295713154 | Bonnie F Bongard | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-01-02 |
| 1457690133 | Distinctive Eyewear, LLC | Eyewear Supplier (Equipment, not the service) | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2013-01-31 |
| 1154403723 | Distinctive Eyewear, LLC | Technician/Technologist | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-10-20 |
| 1497837306 | Northwest Eye Clinic, LLC | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-10-19 |
| 1730138595 | Marni G Feldmann | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-05-09 |
| 1780662650 | Joyce K Mundahl | Optometrist | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-01-02 |
| 1184602047 | Timothy J Ehlen | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888414 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 2765 Virginia Avenue N., New Hope, MN 55427 | 2018-07-26 |
| 1386168573 | Tanya Eiffler | Nurse Practitioner | 1415 Lilac Drive N, Golden Valley, MN 55427 | 2017-07-28 |
| 1861856890 | Minnesota Recovery Center L.L.C. | Community/Behavioral Health | 8500 42nd Ave N Suite 100, New Hope, MN 55427 | 2016-04-06 |
| 1790150191 | Constant Care Corporation | Home Health | 1701 Douglas Drive N (change), Suite 224m (change), Golden Valley (change), MN 55427 | 2015-12-10 |
| 1578939344 | Hy Vee Inc | Pharmacy | 8200 42nd Avenue North, New Hope, MN 55427 | 2015-08-17 |
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1437567682 | Kyle Ryan Sell | Physical Therapist | 8301 Golden Valley Rd #202, Golden Valley, MN 55427 | 2014-07-31 |
| 1710304985 | Healing Hands Home Care LLC | Home Health | 220 Jersey Ave North, Golden Valley, MN 55427 | 2014-03-25 |
| 1871873224 | Amelia Grace Willey | Massage Therapist | 699 Winnetka Avenue North, 202, Golden Valley, MN 55427 | 2011-08-17 |
| 1730402223 | Jennifer Symanietz | Occupational Therapist | 7505 Country Club Drive, Golden Valley, MN 55427 | 2010-03-11 |
| Find all providers in zip 55427 | ||||
| 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 |
|---|---|---|---|---|
| 1467872390 | Luke Dolezal | Ophthalmology | 5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 | 2014-04-17 |
| 1942288659 | Charles S Ostrov | Ophthalmology | 5657 Duluth St, Golden Valley, MN 55422-4054 | 2006-01-03 |
| 1295713154 | Bonnie F Bongard | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-01-02 |
| 1134125859 | Steven Jay Grosser | Ophthalmology | 5851 Duluth St, Ste 215, Golden Valley, MN 55422-3956 | 2005-06-27 |
| 1417213430 | John Patrick O'neill | Ophthalmology | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2012-04-03 |
| 1821327883 | Adam John Gess | Ophthalmology | 5851 Duluth Street, Suite 215, Golden Valley, MN 55422 | 2009-12-21 |
| 1316002801 | West Metro Ophthalmology | Ophthalmology | 5851 Duluth St, Suite 215, Golden Valley, MN 55422-3946 | 2006-12-26 |
| 1346326196 | Northwest Eye Clinic, P.a. | Ophthalmology | 5657 Duluth St, Golden Valley, MN 55422-4054 | 2006-10-27 |
| 1730138595 | Marni G Feldmann | Ophthalmology | 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 | 2006-05-09 |
| 1407818834 | Robert Jon Sigelman | Ophthalmology | 5851 Duluth St, Suite 215, Golden Valley, MN 55422-3946 | 2006-04-03 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55427 |
Please comment or provide details below to improve the information on NORTHWEST EYE CLINIC, LLC.
| 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.