Active NPI
Stephen Paul Tonner, O.D.
- Optometrist
- Bloomington, MN
National Provider Identifier
1356413330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2336
- Practice address
- 8053 E Bloomington Fwy
Suite 550
Bloomington, MN 55420-1002 - Phone
- (952) 224-2883
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2336 | MN | Primary |
Addresses
Primary practice location
8053 E Bloomington Fwy
Suite 550
Bloomington, MN 55420-1002
Mailing address
8053 E Bloomington Fwy
Suite 550
Bloomington, MN 55420-1002
Phone (952) 224-2883
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8053 E Bloomington Fwy
Suite 550
Bloomington, MN 55420-1042
Phone (952) 224-2883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2336 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr.Stephen P. Tonner Opt. LTD. | Current | Accepting new patients | |
| Dr Stephen P Tonner LTD | Optometrist | Current | Accepting new patients |
Locations
8053 E Bloomington Fwy
Ste 550
Minneapolis, MN 55420
Phone (952) 224-2883
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Bloomington, MN
- NPI 1215063961
-
- Optometrist
- Henning, MN
- NPI 1760829568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356413330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8053 E BLOOMINGTON FWY",
"address_2": "SUITE 550",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554201002",
"telephone_number": "952-224-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8053 E BLOOMINGTON FWY",
"address_2": "SUITE 550",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554201002",
"telephone_number": "952-224-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONNER",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.