Organization Active NPI

Russell N Osnes OD & Associates PA

  • Optometrist
  • Eagan, MN
National Provider Identifier
1700409885
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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 PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2020

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

Verify at the official NPI Registry.