Active NPI
Christopher J Palmer, OD
- Optometrist
- Inver Grove Heights, MN
National Provider Identifier
1366593162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2513
- Practice address
- 6175 Cahill Ave
Inver Grove Heights, MN 55076-5501 - Phone
- (651) 455-1492
- Fax
- (651) 455-9466
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2513 | MN | Primary |
Addresses
Primary practice location
6175 Cahill Ave
Inver Grove Heights, MN 55076-5501
Mailing address
19515 Jamestown St NE
East Bethel, MN 55092-8535
Phone (612) 423-4403
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher P. Gregg | Current | Accepting new patients | |
| Pham-Vang Optometry LLC | Optometrist | Past | Accepting new patients |
| Christopher Peter Gregg | Past | Accepting new patients | |
| Dr. Bruce Lebert OD | Optometrist | Past | Accepting new patients |
Locations
6175 Cahill Ave
Ste 101
Inver Grove Heights, MN 55076
Phone (651) 455-1492
Organizations & group practices 4
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
- Inver Grove Heights, MN
- NPI 1942345780
-
- Optician
- Savage, MN
- NPI 1508096611
-
- Optometrist
- Inver Grove Heights, MN
- NPI 1306017389
-
- Optometrist
- Brooklyn Center, MN
- NPI 1831330679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1366593162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19515 JAMESTOWN ST NE",
"city": "EAST BETHEL",
"state": "MN",
"postal_code": "550928535",
"telephone_number": "612-423-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6175 CAHILL AVE",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550765501",
"telephone_number": "651-455-1492",
"fax_number": "651-455-9466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inver Grove Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.