Dominique Marie Simonton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3401 Issued in MN

Practice address

8251 Flying Cloud Dr
Ste 1296
Eden Prairie, MN 55344-5530

Phone

(952) 944-2792

Fax

(952) 942-4973

NPI assigned

Jul 1, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dominique Marie Oker Professional name

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oker Optometry LLC

  • Optometrist
  • Eden Prairie, MN
  • NPI 1700263704
  Medicare reassignment NPD
• Eden Prairie Eye Care

  • Optometrist
  • Eden Prairie, MN
  • NPI 1073969812
  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1487060265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 DECATUR AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284725",
            "telephone_number": "612-245-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 FLYING CLOUD DR",
            "address_2": "STE 1296",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445530",
            "telephone_number": "952-944-2792",
            "fax_number": "952-942-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONTON",
        "first_name": "DOMINIQUE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "OKER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Madison Sikorski
• Sarah Sill
• Silvercrest Properties, LLC
• Emenet Sime
• David J. Simmer, D.C.
• Jill Melisa Sinda, MS PT
• Phouvieng Sivilay
• Kriss Regan Sjostrom, LPCC
• Mikala Skelton
• Jason W Skiles, DO

• Optometrist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.

Verify at the official NPI Registry.