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BURNSVILLE EYE CLINIC LLC NPI 1255575973


NPI Information

NPI: 1255575973
Provider Name: BURNSVILLE EYE CLINIC LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
150 TRAVELERS TRAIL EAST
SUITE D
BURNSVILLE, MN
ZIP 55337
Phone: (952) 894-1400
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BURNSVILLE EYE CLINIC LLC is an optometrist in Burnsville, MN. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. BURNSVILLE EYE CLINIC LLC NPI is 1255575973. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 TRAVELERS TRAIL EAST
SUITE D
BURNSVILLE, MN
ZIP 55337
Phone: (952) 894-1400
Fax: (952) 808-2216

The provider's authorized official is Andrew Joseph Mattson .
The authorized official title is President and has the following contact phone number (952) 894-1400.

The enumeration date for this NPI number is 4/24/2009 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist2823MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11518037563OTHERMINNESOTANPI
22203175OTHERMINNESOTAUNITED HEALTH CARE
32823OTHERMINNESOTAMN LICENSE
4HP36326OTHERMINNESOTAHEALTHPARTNERS
5499R7LAOTHERMINNESOTABLUE CROSS BLUE SHIELD MN
6202779692OTHERMINNESOTAVSP
72203175OTHERMINNESOTAMEDICA
8A61971031584OTHERMINNESOTAPREFERRED ONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.