JL Walsh PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2607 Issued in MN

Legal business name

JL WALSH PA

Practice address

183 Main St W
Wabasha, MN 55981-1236

Phone

(651) 565-3687

NPI assigned

Sep 7, 2007

Last updated

Nov 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale J Simmons

Title

Office Manager

Phone

(651) 565-3687

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352505600000",
    "number": "1235324823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 MAIN ST W",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811236",
            "telephone_number": "651-565-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 MAIN ST W",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811236",
            "telephone_number": "651-565-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL WALSH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2012-11-10",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-565-3687"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "D02542",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Hust, NP
• John F Hust, RN, CRNA
• Lisa Mae Jaeger, LPC
• Kent Shepard Jeffery, MD
• Katlyn Jo Jessen, LPCC
• Jonathan G. Peterson Psychiatry, LTD.
• Brian E. Kelly, MD
• Camilla Lynn Kohutko, PT
• Marlene Kosobucki, PT
• Laura McKenzie Lara, MD

• Optometrist in Wabasha, MN
• Providers in Wabasha, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.