Anna C Malikowski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2921 Issued in MN

Practice address

206 Division St
Waite Park, MN 56387-1331

Phone

(320) 253-0365

Fax

(320) 253-0365

NPI assigned

Apr 5, 2006

Last updated

Apr 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagan Eye Clinic LLCGroup PAC ID 0345220745, 48 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagan Eye Clinic LLC

  • Optometrist
  • Eagan, MN
  • NPI 1477732337
  Medicare reassignment Care Compare group NPD
• Eagan Eye Clinic LLC

  • Optometrist
  • Becker, MN
  • NPI 1023615069
  NPD
• Lake Region Eye Center

  • Optometrist
  • Alexandria, MN
  • NPI 1528066651
  NPD (past)
• Midwest Family Eye Center

  • Optometrist
  • Baxter, MN
  • NPI 1700818341
  NPD (past)
• Midwest Family Eye Center PA

  • Optometrist
  • Baxter, MN
  • NPI 1912087362
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1073575098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ELEANOR CT",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774603",
            "telephone_number": "320-217-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 DIVISION ST",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871331",
            "telephone_number": "320-253-0365",
            "fax_number": "320-253-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIKOWSKI",
        "first_name": "ANNA",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530013400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amal Fuad Mahamed
• Sharif Abdirahman Mahmud
• Halimo Mohamed Makaran
• Maxine Marie Maki-Wilson
• Anastasia Lorain Malikowski
• Shelby Malmanger, RPH
• Makyia K Maloney, BCBA, LBA
• Fatou Manneh
• Marketplace Counseling, PA
• Hannah Marquis

• Optometrist in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.