Active NPI
Erin M Dunphy, OD
- Optometrist
- Rogers, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3569
- Practice address
- 13900 Northdale Blvd
Rogers, MN 55374 - Phone
- (763) 428-3757
- Fax
- (763) 428-9820
- NPI assigned
- Jun 19, 2018
- Last updated
- Dec 11, 2018
- Sex
- Female
- 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 | 3569 | MN | Primary |
Addresses
Primary practice location
13900 Northdale Blvd
Rogers, MN 55374
Mailing address
13900 Northdale Blvd
Rogers, MN 55374-9627
Phone (847) 209-3231
Other practice location 1
213 Valley Dr
Oakwood Hills, IL 60013-1130
Phone (847) 209-3231
Other practice location 2
1 Central Ave W Ste 104
Saint Michael, MN 55376-4590
Phone (763) 497-3754
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13900 Northdale Blvd
Rogers, MN 55374-9627
Phone (763) 428-3757
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3569 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D. Stanton Enterprises, LLC | Optometrist | Current | Accepting new patients |
Locations
13900 Northdale Blvd
Rogers, MN 55374
Phone (763) 428-3757
1 Central Ave W
Ste 104
Saint Michael, MN 55376
Phone (763) 493-3937
Organizations & group practices 1
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.
-
dba EyeWest Vision Clinic & Optical
- Optometrist
- Rogers, MN
- NPI 1063594109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1609360098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13900 NORTHDALE BLVD",
"city": "ROGERS",
"state": "MN",
"postal_code": "553749627",
"telephone_number": "847-209-3231",
"fax_number": "763-428-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13900 NORTHDALE BLVD",
"city": "ROGERS",
"state": "MN",
"postal_code": "55374",
"telephone_number": "763-428-3757",
"fax_number": "763-428-9820"
}
],
"practiceLocations": [
{
"address_1": "213 Valley Dr",
"address_purpose": "LOCATION",
"city": "Oakwood Hills",
"state": "IL",
"postal_code": "600131130",
"country_code": "US",
"telephone_number": "847-209-3231",
"fax_number": "847-639-6235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Central Ave W Ste 104",
"address_purpose": "LOCATION",
"city": "Saint Michael",
"state": "MN",
"postal_code": "553764590",
"country_code": "US",
"telephone_number": "763-497-3754",
"fax_number": "763-497-3811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNPHY",
"first_name": "ERIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.