Caroline Paige St Ores

Primary specialty

OptometristTaxonomy code 152W00000X

License

3869 Issued in MN

Practice address

7872 Market Blvd
Chanhassen, MN 55317-9440

Phone

(952) 934-1424

Fax

(952) 934-2140

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Illinois College of Optometry at Chicago, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarkson Optometry IncGroup PAC ID 0840411799, 82 clinicians

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.

• Clarkson Optometry Inc

  • Optometrist
  • Chanhassen, MN
  • NPI 1982236980
  Medicare reassignment Care Compare group NPD
• The Eye Doctors Office, PA

  • Optometrist
  • Wayzata, MN
  • NPI 1962527754
  Medicare reassignment NPD
• Clarkson Optometry Inc

  • Optometrist
  • Elk River, MN
  • NPI 1952992976
  NPD
• The Eye Doctors Office, PA

  • Optometrist
  • Minneapolis, MN
  • NPI 1003260290
  NPD
• Clarkson Eyecare

  • Optometrist
  • Eureka, MO
  • NPI 1205817731
  NPD (past)

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1649963752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7872 MARKET BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179440",
            "telephone_number": "952-934-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7872 MARKET BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179440",
            "telephone_number": "952-934-1424",
            "fax_number": "952-934-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST ORES",
        "first_name": "CAROLINE",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Silkey, MA, LPCC
• Rolf J Simonson
• Michelle M Snyder, MA LPC
• Steven N Soneral, DO
• Kathleen C Spencer, PA-C
• Randolph Lee Stagg
• Jeremy James Stapel, M.A.
• Madison Christine Staples, PT, DPT
• Starfish Services LLC
• Emily Starita, NP-C

• Optometrist in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.