Northwest Eye Clinic, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

360 Issued in MN

Legal business name

NORTHWEST EYE CLINIC, P.A.

Practice address

5657 Duluth St
Golden Valley, MN 55422-4054

Phone

(763) 416-7600

Fax

(763) 542-9708

NPI assigned

Oct 27, 2006

Last updated

Jan 22, 2009By 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

Audrey Irene Berg

Title

Business Office Supervisor

Phone

(763) 383-4140

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northwest Eye Clinic, LLC

  • Ophthalmology Physician
  • Maple Grove, MN
  • NPI 1164508917

  O20040204000843

  Same enrollment
• Northwest Eye Clinic, LLC

  • Ophthalmology Physician
  • St Anthony, MN
  • NPI 1255417002

  O20040204000843

  Same enrollment
• Northwest Eye Clinic, LLC

  • Ophthalmology Physician
  • Minnetonka, MN
  • NPI 1437235280

  O20040204000843

  Same enrollment
• Northwest Eye Clinic, LLC

  • Ophthalmology Physician
  • Golden Valley, MN
  • NPI 1497837306

  O20040204000843

  Same enrollment
• Northwest Eye Clinic, LLC

  • Ophthalmology Physician
  • Wayzata, MN
  • NPI 1528144375

  O20040204000843

  Same enrollment
• Northwest Eye Clinic, LLC

  • Ophthalmology Physician
  • Wayzata, MN
  • NPI 1891871646

  O20040204000843

  Same enrollment
• Northwest Eye Clinic, LLC

  • Ophthalmology Physician
  • Golden Valley, MN
  • NPI 1992044432

  O20040204000843

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marni G Feldmann, MD

  • Retina Specialist (Ophthalmology) Physician
  • Golden Valley, MN
  • NPI 1730138595
  NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1346326196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 GOLDEN VALLEY RD",
            "address_2": "SUITE 330",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274486",
            "telephone_number": "763-383-4130",
            "fax_number": "763-383-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 DULUTH ST",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224054",
            "telephone_number": "763-416-7600",
            "fax_number": "763-542-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "763-383-4140"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290445400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Center Inc
• Northland Hearing Centers, Inc (The Hearing Center)
• Northwest Eye Clinic, LLC
• Northwest Eye Clinic, LLC
• Northwest Eye Clinic, LLC
• Northwest Psychology Consultants
• Northwest Psychology Consultants PA
• Hilary Dirks Norton, DO
• Craig Norvell, LMFT
• Notre Ecole

• Ophthalmology Physician in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.