Active NPI
Donald Wayne Calvin, O.D.
- Optometrist
- Maplewood, MN
National Provider Identifier
1467517144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1643
- Practice address
- 3001 White Bear Ave N
Sears BLDG
Maplewood, MN 55109-1215 - Phone
- (651) 770-4274
- Fax
- (651) 770-1862
- NPI assigned
- Dec 24, 2006
- Last updated
- Jul 8, 2007
- 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 | 1643 | MN | Primary |
Addresses
Primary practice location
3001 White Bear Ave N
Sears BLDG
Maplewood, MN 55109-1215
Mailing address
2540 Eagle Valley Dr
Woodbury, MN 55129-4206
Phone (651) 738-2758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 636023800 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Optical | Optometrist | Past | Accepting new patients |
| Gould Enterprise, PLLC | Past | Accepting new patients | |
| Vision World Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Saint Paul, MN
- NPI 1750888335
-
- Optometrist
- Hudson, WI
- NPI 1588725063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467517144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 EAGLE VALLEY DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551294206",
"telephone_number": "651-738-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 WHITE BEAR AVE N",
"address_2": "SEARS BLDG",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091215",
"telephone_number": "651-770-4274",
"fax_number": "651-770-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVIN",
"first_name": "DONALD",
"middle_name": "WAYNE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "1643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "636023800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
- C&H Healthcare (BrightStar Healthcare)
- Laura Cada
- Huaimin Cahill, CMT
- Caitlin Hemmerich, DDS, PA (Ridge Periodontics & Dental Implants)
- Stephanie F Callanan, MD
- Camel Transportation L. L. C.
- Joseph D Canto, MD
- Diem Thi Kim Hong Cao, LICSW, LADC
- Care Ride Transportation Inc
- Care Special Transportation, LLC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.