Individual provider Active NPI

Stephen Paul Tonner, O.D.

  • Optometrist
  • Bloomington, MN
National Provider Identifier
1356413330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2336 Issued in MN
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000408 MN Practitioner - Optometry 8123924792 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2336MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.Stephen P. Tonner Opt. LTD. CurrentSince Dec 4, 2006 Accepting new patients
Dr Stephen P Tonner LTD Optometrist CurrentSince Dec 4, 2006 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.

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

Verify at the official NPI Registry.