Ophthalmic Plastic And Reconstructive Surgery, P.A. in Minneapolis - Specialist
Ophthalmic Plastic And Reconstructive Surgery, P.A. - NPI 1386716157
Ophthalmic Plastic And Reconstructive Surgery, P.A. is a Specialist in Minneapolis, Minnesota. Ophthalmic Plastic And Reconstructive Surgery, P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ophthalmic Plastic And Reconstructive Surgery, P.A. is 1386716157. The last update date is 2010-04-27.
Ophthalmic Plastic And Reconstructive Surgery, P.A.'s current location address is 4887 E Lake Harriet Blvd, Minneapolis, Minnesota. You can contact this provider via phone number 6123250317. The mailing address for Ophthalmic Plastic And Reconstructive Surgery, P.A. is 4887 E Lake Harriet Blvd, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ophthalmic Plastic And Reconstructive Surgery, P.A. |
|---|---|
| Address | 4887 E Lake Harriet Blvd, Minneapolis, Minnesota |
| Phone Number | 6123250317 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Carroll P Richard |
| Credentials | M.D. |
| Telephone Number | 6123250317 |
NPI Number Detail
| NPI Number | 1386716157 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2010-04-27 |
Provider Mailing Address Detail
| Address | 4887 E Lake Harriet Blvd |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554195222 |
| Phone Number | 6123250317 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 799 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122169D805 | MN | UCARE MINNESOTA | |
| 7787270 | SD | -- | |
| 95322 | MN | HEALTH PARTNERS | |
| 16176 | ND | -- | |
| 802163 | MN | MEDICA | |
| 26128OP | MN | BLUE CROSS BLUE SHIELD MN | |
| 31010700 | MN | -- | |
| 31260500 | WI | -- |
Post Comment/ Review Below
What is the Ophthalmic Plastic And Reconstructive Surgery, P.A.'s 1386716157?
The Ophthalmic Plastic And Reconstructive Surgery, P.A.'s NPI (National Provider Identifier) Number is 1386716157. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ophthalmic Plastic And Reconstructive Surgery, P.A.?
The Ophthalmic Plastic And Reconstructive Surgery, P.A. is situated at 4887 E Lake Harriet Blvd, in the city of Minneapolis, state of MN, with the zip code 554195222.
What is Ophthalmic Plastic And Reconstructive Surgery, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ophthalmic Plastic And Reconstructive Surgery, P.A. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386716157 to Ophthalmic Plastic And Reconstructive Surgery, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1386716157 to Ophthalmic Plastic And Reconstructive Surgery, P.A. on 2006-11-15.
As of what date was the information pertaining to Ophthalmic Plastic And Reconstructive Surgery, P.A., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ophthalmic Plastic And Reconstructive Surgery, P.A., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-04-27.