Active NPI
Russell N Osnes OD & Associates PA
- Optometrist
- Eagan, MN
National Provider Identifier
1700409885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- RUSSELL N OSNES OD & ASSOCIATES PA
- Practice address
- 1340 Duckwood Dr Ste 14
Eagan, MN 55123-2324 - Phone
- (651) 452-0344
- Fax
- (651) 452-1564
- NPI assigned
- May 22, 2020
- Organization subpart
- Yes
- Parent organization
- RUSSELL N OSNES OD AND ASSOCIATES PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Nathaniel Osnes, OD
- Title
- President/Owner
- Phone
- (651) 452-0344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1340 Duckwood Dr Ste 14
Eagan, MN 55123-2324
Mailing address
1340 Duckwood Dr Ste 14
Eagan, MN 55123-2324
Phone (651) 452-0344
Other practice location 1
6487 Cedar Hills Dr
Cannon Falls, MN 55009-4264
Phone (507) 263-3949
Other names 1
- Cannon Eye Clinic
National Provider Directory
National Provider Directory- Part of
- Russell N Osnes OD Associa
Locations
1340 Duckwood Dr
Ste 14
Saint Paul, MN 55123
Phone (651) 349-4699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590105600000",
"number": "1700409885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 DUCKWOOD DR STE 14",
"city": "EAGAN",
"state": "MN",
"postal_code": "551232324",
"telephone_number": "651-452-0344",
"fax_number": "651-452-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 DUCKWOOD DR STE 14",
"city": "EAGAN",
"state": "MN",
"postal_code": "551232324",
"telephone_number": "651-452-0344",
"fax_number": "651-452-1564"
}
],
"practiceLocations": [
{
"address_1": "6487 Cedar Hills Dr",
"address_purpose": "LOCATION",
"city": "Cannon Falls",
"state": "MN",
"postal_code": "550094264",
"country_code": "US",
"telephone_number": "507-263-3949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RUSSELL N OSNES OD & ASSOCIATES PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUSSELL N OSNES OD AND ASSOCIATES PA",
"enumeration_date": "2020-05-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A",
"authorized_official_last_name": "OSNES",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "NATHANIEL",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "651-452-0344",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cannon Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.