Emily L Ellingson (NPI# 1356835748, PAC ID# 1456690858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1356835748 |
| PAC ID by PECOS | 1456690858 |
| Professional Enrollment ID | I20190301001318 |
| Full Name | Emily L Ellingson |
| Organization Legal Name | EYE DOCTORS OFFICE P.A. |
| Address |
747 E Lake St Wayzata MN 55391-1712 |
| Phone Number | 9524042020 |
| Gender | F |
| Medical School | STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5294720777 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 747 E Lake St, Wayzata, MN 55391-1712 | 9524042020 | EYE DOCTORS OFFICE P.A. |
| Organization Legal Name | EYE DOCTORS OFFICE P.A. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria L Whitman | Optometry | Eye Doctors Office P.a. | 747 E Lake St, Wayzata, MN 55391-1712 |
| Timothy P Haupert | Optometry | Eye Doctors Office P.a. | 747 E Lake St, Wayzata, MN 55391-1712 |
| Street Address |
747 E LAKE ST |
| City | WAYZATA |
| State | MN |
| Zip | 55391-1712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria L Whitman | Optometry | Eye Doctors Office P.a. | 747 E Lake St, Wayzata, MN 55391-1712 |
| Timothy P Haupert | Optometry | Eye Doctors Office P.a. | 747 E Lake St, Wayzata, MN 55391-1712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johanna Dijkstal Beebe | Ophthalmology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Salma S Mohsin | Internal Medicine | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Lauren B Oneill | Obstetrics/gynecology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Patricia A Sorensen | Family Medicine | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Leela Engineer | Physical Medicine and Rehabilitation | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Bok Chung | Psychiatry | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Oliver W Cass | Gastroenterology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Julie M Farias | Family Medicine | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Ann M Stevens | Nurse Practitioner | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| John S Berestka | Ophthalmology | Northwest Eye Clinic LLC | 250 Central Ave N, Suite 107, Wayzata, MN 55391-1207 |
| Find all physicians in zip 55391 | |||
| City | WAYZATA |
| Zip Code | 55391 |
| Specialty | OPTOMETRY |
| City + Specialty | WAYZATA + OPTOMETRY |
Please comment or provide details below to improve the information on Emily L Ellingson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.