Comprehensive Ophthalmology, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COMPREHENSIVE OPHTHALMOLOGY, LLC

Practice address

3209 West 76TH St
#303
Edina, MN 55435

Phone

(952) 844-2020

Fax

(952) 844-2021

NPI assigned

Jan 20, 2006

Last updated

Oct 17, 2007By 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

Paul F Bruer, MDNPI 1710958368

Title

Owner

Phone

(952) 476-8602

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Paul F Bruer, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Edina, MN
  • NPI 1710958368
  Authorized official Same address or phone
• Linda Joy Miller, M.D.

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1275671224
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1396725602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HOLLANDER RD",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "55391",
            "telephone_number": "952-476-8602",
            "fax_number": "952-476-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 WEST 76TH ST",
            "address_2": "#303",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-844-2020",
            "fax_number": "952-844-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE OPHTHALMOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "BRUER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-476-8602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "639R1CO",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Eye Associates, Inc
• Bryan D Colwell, M.D.
• Comfort & Wellness Living
• Community Health and Immunization Services, LLC
• Compassion Home Management L.L.C.
• Daniel Conkle
• Kathleen Mary Conlon, L.I.C.S.W.
• Connections Counseling and Recovery Services
• Connectmate Transportation
• Jessica Conners, MA, LAMFT

• Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.