Alicia Marie Alvarado, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

3484 Issued in MN

Practice address

1202 Moore Lake Dr E
Fridley, MN 55432

Phone

(763) 574-0075

Fax

(763) 574-0594

NPI assigned

Jun 22, 2016

Last updated

May 14, 2018By 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

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

Pacific University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Eye Care Centers, PAGroup PAC ID 3779543962, 9 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.

• Optometric Eye Care Centers, P.a.

  dba Eye Care Center

  • Optometrist
  • Fridley, MN
  • NPI 1548356595

  Corneal and Contact Management

  Medicare reassignment Care Compare group NPD
• Optometric Eye Care Centers, PA

  dba Eye Care Center

  • Optometrist
  • Maple Grove, MN
  • NPI 1164861357

  Corneal and Contact Management

  NPD
• Optometric Eye Care Centers, PA

  dba Eye Care Center

  • Optometrist
  • Maplewood, MN
  • NPI 1730203597

  Corneal and Contact Management

  NPD
• G.R. Thomas Jr OD PA

  dba Maple Grove Eye Clinic

  • Eyewear Supplier
  • Maple Grove, MN
  • NPI 1659556264
  NPD (past)
• Minnesota Eye Consultants, PA

  • Ophthalmology Physician
  • Minneapolis, MN
  • NPI 1477526747

  Corneal and Contact Management

  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1295185122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MOORE LAKE DR E",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325170",
            "telephone_number": "763-574-0075",
            "fax_number": "763-574-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MOORE LAKE DR E",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "55432",
            "telephone_number": "763-574-0075",
            "fax_number": "763-574-0594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1965 11th Ave E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551095168",
            "country_code": "US",
            "telephone_number": "651-777-3555",
            "fax_number": "651-777-4459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7880 Main St N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697081",
            "country_code": "US",
            "telephone_number": "763-420-6981",
            "fax_number": "763-773-7253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MN",
            "license": "3484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allina Health System (Ambulatory Clinic - Mercy Hospital, Unity Campus)
• Allina Health System (Unity Hospital Doctors UHD)
• Allina Health System (Allina Health Unity Pharmacy)
• Allina Health System (Allina Health Fridley Clinic)
• Allina Hopsital and Clinics
• American Transportation Inc
• Amoud Center Inc
• Alina Amunrud
• Samantha Andersen
• Joy Kristine Anderson, MD

• Corneal and Contact Management Optometrist in Fridley, MN
• Providers in Fridley, MN by specialty
• Corneal and Contact Management Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.