Edward D Augdahl (NPI# 1720056641, PAC ID# 1759347487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1720056641 |
| PAC ID by PECOS | 1759347487 |
| Professional Enrollment ID | I20041204000284 |
| Full Name | Edward D Augdahl |
| Organization Legal Name | EDA, INC |
| Address |
5515 Xerxes Ave N Brooklyn Center MN 55430-2856 |
| Phone Number | 7635601636 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1991 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6406910710 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5515 Xerxes Ave N, Brooklyn Center, MN 55430-2856 | 7635601636 | EDA, INC |
| Organization Legal Name | EDA, INC |
| Physicians | 1 |
| Street Address |
5515 XERXES AVE N |
| City | BROOKLYN CENTER |
| State | MN |
| Zip | 55430-2856 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Dettling | Chiropractic | 615 66th N Ave, Suite 2, Brooklyn Center, MN 55430-1666 | |
| Kimberly J Oftedahl-brooks | Clinical Social Worker | Associated Clinic of Psychology Inc | 6200 Shingle Creek Pkwy, Suite 350, Brooklyn Center, MN 55430-2155 |
| Juneau Ronnye Hill-armstrong | Clinical Social Worker | 5701 Shingle Creek Pkwy, Suite 500t, Brooklyn Center, MN 55430-2386 | |
| Patricia L Haroldson | Certified Nurse Midwife (cnm) | Park Nicollet Clinic | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 |
| Robert A Peterson | Internal Medicine | Park Nicollet Clinic | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 |
| Vida S Kent | Certified Nurse Midwife (cnm) | Park Nicollet Clinic | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 |
| Anne R Edwards | Pediatric Medicine | Park Nicollet Clinic | 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 |
| Tammy M Danielson | Physician Assistant | North Memorial Health Care | 5615 Xerxes N Ave D, Brooklyn Center, MN 55430-2819 |
| Erik S Haugland | Family Medicine | North Memorial Health Care | 5615 Xerxes N Ave D, Brooklyn Center, MN 55430-2819 |
| Thomas A Breitenbucher | Psychologist, Clinical | North Psychology Clinic Pa | 6120 Earle Brown Dr, Suite 520, Brooklyn Center, MN 55430-4112 |
| Find all physicians in zip 55430 | |||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
| Specialty | OPTOMETRY |
| City + Specialty | BROOKLYN CENTER + OPTOMETRY |
Please comment or provide details below to improve the information on Edward D Augdahl.
| 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.