Medical Eye Associates of Minneapolis PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

44159 Issued in MN

Legal business name

MEDICAL EYE ASSOCIATES OF MINNEAPOLIS PC

Practice address

7767 Elm Creek Blvd N
Suite 140
Maple Grove, MN 55369-7041

Phone

(763) 416-0924

Fax

(763) 416-6505

NPI assigned

May 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Omar Awad, M.D.

Title

President / Owner

Phone

(763) 416-0924

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Max Kostecki, O.D.

  • Optometrist
  • Minnetonka, MN
  • NPI 1366434672
  NPD (past)
• Maria Majewicz Andrews, O.D.

  • Optometrist
  • Minneapolis, MN
  • NPI 1396023735
  NPD (past)
• Jason John Schmit, O.D.

  • Optometrist
  • Sioux Falls, SD
  • NPI 1124220322
  NPD (past)

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1184983074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364301",
            "telephone_number": "513-354-5808",
            "fax_number": "513-354-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7767 ELM CREEK BLVD N",
            "address_2": "SUITE 140",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697041",
            "telephone_number": "763-416-0924",
            "fax_number": "763-416-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EYE ASSOCIATES OF MINNEAPOLIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "763-416-0924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "44159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meadowlark Counseling and Wellness, PLLC
• Meadowlark Services LLC
• Amber Rose Meagher, M.S.
• Katherine A Mears, LSW
• Med Cell Regenerate
• Cindy Meester, MS CCC-SLP
• Moushumi Meher, M.D.
• Charise Michde Mehrkens, PA-C
• Diane M. Meier, M.D.
• Nicole Meier

• Ophthalmology Physician in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.