Thomas W Samuelson (NPI# 1265427918, PAC ID# 2668362922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1265427918 |
| PAC ID by PECOS | 2668362922 |
| Professional Enrollment ID | I20041013000235 |
| Full Name | Thomas W Samuelson |
| Organization Legal Name | MINNESOTA EYE CONSULTANTS, PA |
| Address |
9801 Dupont Ave S Suite 200 Bloomington MN 55431-3200 |
| Phone Number | 9528885800 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1985 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4284524539 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 | 9528885800 | MINNESOTA EYE CONSULTANTS, PA |
| Organization Legal Name | MINNESOTA EYE CONSULTANTS, PA |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Christine Gundale | Physician Assistant | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Honora E Kennedy | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Mona M Fahmy | Optometry | Minnesota Eye Consultants, Pa | 710 24th St E, Suite 100, Minneapolis, MN 55404-3810 |
| Elizabeth A Davis | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Mark Roger Buboltz | Optometry | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Sherman Winston Reeves | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Jill S Melicher Larson | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Krista Jean Stewart | Ophthalmology | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Douglas G Tani | Ophthalmology | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Kristen M Chuba | Physician Assistant | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Street Address |
9801 DUPONT AVE S SUITE 200 |
| City | BLOOMINGTON |
| State | MN |
| Zip | 55431-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Honora E Kennedy | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Elizabeth A Davis | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Sherman Winston Reeves | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Jill S Melicher Larson | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Kristen M Chuba | Physician Assistant | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Jill M Englund | Physician Assistant | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Alyson L Blakstad | Optometry | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Johnna D Hobbs | Optometry | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Noumia Cloutier-gill | Optometry | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Mark Spencer Hansen | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A White | Clinical Social Worker | Catalyst Mental Health Sbc | 8120 Penn Ave S, Suite 400, Bloomington, MN 55431-1311 |
| Cassandra D Mcguire | Chiropractic | Chirocenterbloomingtonpa | 8120 Penn S Ave, Suite 525, Bloomington, MN 55431-1312 |
| Eric A Schmitt | Chiropractic | Chirocenterbloomingtonpa | 8120 Penn S Ave, Suite 525, Bloomington, MN 55431-1312 |
| Kelsey M Perreault | Chiropractic | Chirocenterbloomingtonpa | 8120 Penn S Ave, Bloomington, MN 55431-1312 |
| Richard J Hruby | Osteopathic Manipulative Medicine | 8120 Penn Ave S, Suite 440, Bloomington, MN 55431-1326 | |
| Scott R Corbett | Osteopathic Manipulative Medicine | 8120 Penn Ave S, Suite 440, Bloomington, MN 55431-1326 | |
| Cindy S Libman | Clinical Social Worker | 8120 Penn Ave S, Suite 455, Bloomington, MN 55431-1337 | |
| Colette C Kuhn | Psychologist, Clinical | Chjl LLC | 8120 Penn Ave S, Suite 252, Bloomington, MN 55431-1358 |
| Hoinu T Bunce | Psychologist, Clinical | Chjl LLC | 8120 Penn Ave S, Suite 252, Bloomington, MN 55431-1358 |
| Jason M Fredericks | Chiropractic | 8200 Humboldt Ave S, Suite 204, Bloomington, MN 55431-1432 | |
| Find all physicians in zip 55431 | |||
| City | BLOOMINGTON |
| Zip Code | 55431 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BLOOMINGTON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Thomas W Samuelson.
| 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.