Samuel Frederick Passi (NPI# 1609250497, PAC ID# 2961719968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1609250497 |
| PAC ID by PECOS | 2961719968 |
| Professional Enrollment ID | I20190617001716 |
| Full Name | Samuel Frederick Passi |
| Organization Legal Name | MINNESOTA EYE CONSULTANTS, PA |
| Address |
10709 Wayzata Blvd Suite 200 Minnetonka MN 55305-1530 |
| Phone Number | 7635531142 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| 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 |
|---|---|---|
| 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1530 | 7635531142 | 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 |
| Thomas W Samuelson | 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 |
| Street Address |
10709 WAYZATA BLVD SUITE 200 |
| City | MINNETONKA |
| State | MN |
| Zip | 55305-1530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Singh | Certified Registered Nurse Anesthetist (crna) | Certified Anesthesia Care Co | 10709 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-5509 |
| Richard A Thurn | Certified Registered Nurse Anesthetist (crna) | Certified Anesthesia Care Co | 10709 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-5509 |
| Rebecca A Petersen | Certified Registered Nurse Anesthetist (crna) | Certified Anesthesia Care Co | 10709 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-5509 |
| David R Hardten | Ophthalmology | Minnesota Eye Consultants, Pa | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1530 |
| Teresa J Ford | Certified Registered Nurse Anesthetist (crna) | Certified Anesthesia Care Co | 10709 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-5509 |
| Shelby K Anderson | Optometry | Minnesota Eye Consultants, Pa | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1530 |
| Tanya Yvonne Glattly | Certified Registered Nurse Anesthetist (crna) | Certified Anesthesia Care Co | 10709 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-5509 |
| Richard L Lindstrom | Ophthalmology | Minnesota Eye Consultants, Pa | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1530 |
| Sarah Maki | Ophthalmology | Minnesota Eye Consultants, Pa | 10709 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1530 |
| Barbara J Hull | Certified Registered Nurse Anesthetist (crna) | Certified Anesthesia Care Co | 10709 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-5509 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alecia A Viera | Psychologist, Clinical | 10505 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1502 | |
| Nancy A Foster | Clinical Psychologist | Nancy Foster Phd LLC | 10505 Wayzata Blvd, Minnetonka, MN 55305-1502 |
| Harriet A Kohen | Clinical Social Worker | 10201 Wayzata Blvd, Suite 220, Hopkins, MN 55305-1505 | |
| David S Alter | Psychologist, Clinical | 10505 Wayzata Boulevard, Suite 200, Minnetonka, MN 55305-1506 | |
| Peggy Susan Maki | Psychologist, Clinical | 10520 Wayzata Blvd, Suite 100, Minnetonka, MN 55305-1511 | |
| John H. L. Odom Jr. | Family Medicine | Odom Sports Medicine Pa | 10653 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1543 |
| Andrew J Moran | Physical Therapy | Odom Sports Medicine Pa | 10653 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1543 |
| Katrina A B Kneeskern | Physical Therapy | Odom Sports Medicine Pa | 10653 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1543 |
| Rachel A Hansen | Physical Therapy | Odom Sports Medicine Pa | 10653 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1543 |
| Ann-marie Chesterfield | Physical Therapy | Odom Sports Medicine Pa | 10653 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1543 |
| Find all physicians in zip 55305 | |||
| City | MINNETONKA |
| Zip Code | 55305 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MINNETONKA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Samuel Frederick Passi.
| 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.