NPIMap

Organization Active NPI

St Paul Eye Clinic PA

  • Ophthalmologic Surgery Clinic/Center
  • Woodbury, MN
National Provider Identifier
1720173651
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
ST PAUL EYE CLINIC PA
Practice address
2080 Woodwinds Dr
Suite 110
Woodbury, MN 55125-2523
Phone
(651) 738-6800
Fax
(651) 714-6997
NPI assigned
Oct 4, 2006
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Dr. Thomas J. Rice, M.D.NPI 1225090020
Title
President
Phone
(651) 738-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X Primary

Addresses

Primary practice location

2080 Woodwinds Dr
Suite 110
Woodbury, MN 55125-2523

Mailing address

2080 Woodwinds Dr
Suite 110
Woodbury, MN 55125-2523
Phone (651) 738-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040303000445 MN Part B Supplier - Clinic/Group Practice 6709773823 Receives reassigned benefits from 19 practitioners
Practice locations: Woodbury, MN; St Paul, MN; Saint Paul, MN; Roseville, MN; Eagan, MN; Maplewood, MN; Minneapolis, MN; Oak Park Heights, MN
O20040810000440 WI Part B Supplier - Clinic/Group Practice 6709773823 Receives reassigned benefits from 3 practitioners
Practice locations: Grantsburg, WI; Osceola, WI

National Provider Directory

National Provider Directory

Locations

1215 Town Centre Dr
Ste 100
Eagan, MN 55123
Phone (651) 454-2526

2680 Snelling Ave N
Ste 110
Roseville, MN 55113
Phone (651) 631-2922

1093 Grand Ave
Saint Paul, MN 55105
Phone (651) 222-7343

Interoperability endpoints

  • Direct secure messaging: aringeisen@stpauleye.intellechartdirect.net
  • Direct secure messaging: cstefonowicz@stpauleye.intellechartdirect.net
  • Direct secure messaging: mhur@stpauleye.intellechartdirect.net
  • Direct secure messaging: mlopez@stpauleye.intellechartdirect.net
  • Direct secure messaging: mstrampe@stpauleye.intellechartdirect.net
  • Direct secure messaging: nauble@stpauleye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1720173651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WOODWINDS DR",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252523",
            "telephone_number": "651-738-6800",
            "fax_number": "651-714-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WOODWINDS DR",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252523",
            "telephone_number": "651-738-6800",
            "fax_number": "651-714-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAUL EYE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-738-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.