Todd M Watanabe (NPI# 1104888742, PAC ID# 3072539949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1104888742 |
| PAC ID by PECOS | 3072539949 |
| Professional Enrollment ID | I20100213000057 |
| Full Name | Todd M Watanabe |
| Organization Legal Name | ST PAUL EYE CLINIC PA |
| Address |
5945 Norwich N Ave Oak Park Heights MN 55082-1290 |
| Phone Number | 6513512038 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6709773823 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1215 Town Centre Dr, Suite 100, Eagan, MN 55123-1356 | 6514542526 | ST PAUL EYE CLINIC PA |
| 1675 Beam Ave, Suite 100, Maplewood, MN 55109-1478 | 6517702904 | ST PAUL EYE CLINIC PA |
| 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 | 6513512038 | ST PAUL EYE CLINIC PA |
| 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2539 | 6515786949 | ST PAUL EYE CLINIC PA |
| Organization Legal Name | ST PAUL EYE CLINIC PA |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Dworak | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Sonja E Iverson-hill | Optometry | St Paul Eye Clinic Pa | 1093 Grand Ave, St Paul, MN 55105-3002 |
| Derek Scott Horkey | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Scott Arthur Uttley | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Alla Kelly | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Phillip T Sheridan | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Thomas J Rice | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Dan A Nichols | Ophthalmology | St Paul Eye Clinic Pa | 1675 Beam Ave, Suite 100, Maplewood, MN 55109-1478 |
| Richard P Stanek | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Aaron W Tsai | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Street Address |
5945 NORWICH N AVE |
| City | OAK PARK HEIGHTS |
| State | MN |
| Zip | 55082-1290 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Dworak | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Derek Scott Horkey | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Scott Arthur Uttley | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Alla Kelly | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Phillip T Sheridan | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Thomas J Rice | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Richard P Stanek | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Aaron W Tsai | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Erik S Bachmeier | Optometry | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| James E George | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ross K Hanson | Chiropractic | 13481 60th St N, Suite 300, Stillwater, MN 55082-1089 | |
| Wendy A Seyller | Optometry | 13481 60th St N, Suite 200, Stillwater, MN 55082-1089 | |
| Susan J Quick | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Barbara R Walker | Clinical Psychologist | 6381 Osgood Ave N, Bldg C, Stillwater, MN 55082-2000 | |
| Lois J Hall | Chiropractic | Hall and Hall Ltd | 13999 60th N St, Stillwater, MN 55082-2007 |
| Danial A Hall | Chiropractic | Hall and Hall Ltd | 13999 60th N St, Stillwater, MN 55082-2007 |
| Gregory M Deyak | Physical Therapy | Infinite Health Collaborative Pa | 5805 Neal Ave N, Oak Park Heights, MN 55082-2177 |
| Jacqueline C Gierok | Physical Therapy | Infinite Health Collaborative Pa | 5805 Neal Ave N, Oak Park Heights, MN 55082-2177 |
| Virginia C Borrman | Physical Therapy | Infinite Health Collaborative Pa | 5805 Neal Ave N, Oak Park Heights, MN 55082-2177 |
| Thomas N Warfield | Physical Therapy | Infinite Health Collaborative Pa | 5805 Neal Ave N, Oak Park Heights, MN 55082-2177 |
| Find all physicians in zip 55082 | |||
| City | OAK PARK HEIGHTS |
| Zip Code | 55082 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | OAK PARK HEIGHTS + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Todd M Watanabe.
| 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.