Todd C Kavanagh is a Optometrist in Wyoming, Minnesota. Todd C Kavanagh practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Todd C Kavanagh is 1518956655. The last update date is 2013-11-14.
Todd C Kavanagh's current location address is 5200 Fairview Blvd, Wyoming, Minnesota. You can contact this provider via phone number 6519827723 and fax number 6519827677. The mailing address for Todd C Kavanagh is 5200 Fairview Blvd, Wyoming, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd C Kavanagh |
|---|---|
| Address | 5200 Fairview Blvd, Wyoming, Minnesota |
| Phone Number | 6519827723 |
| Fax Number | 6519827677 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1518956655 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2013-11-14 |
Provider Mailing Address Detail
| Address | 5200 Fairview Blvd |
|---|---|
| City | Wyoming |
| State | Minnesota (MN) |
| Post Code | 550928013 |
| Phone Number | 6519827723 |
| Fax Number | 6519827677 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2867 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 124140100 | MN | -- |
Post Comment/ Review Below
What is the Todd C Kavanagh's unique identification number?
The Todd C Kavanagh has been assigned the NPI (National Provider Identifier) Number 1518956655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Todd C Kavanagh is physically located?
The Todd C Kavanagh is physically situated at the following address: 5200 Fairview Blvd, Wyoming, MN, 550928013.
What is Todd C Kavanagh's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Todd C Kavanagh is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
When did Todd C Kavanagh receive its 1518956655 assignment?
The Todd C Kavanagh was assigned its 1518956655 on 2005-10-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Todd C Kavanagh, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Todd C Kavanagh, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-11-14.