Dawn Marie Eckstrom

Primary specialty

OpticianTaxonomy code 156FX1800X

License

245995 Issued in MN

Practice address

7295 Glory Rd
Baxter, MN 56425-7308

Phone

(218) 829-3848

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1801580956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7295 GLORY RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564257308",
            "telephone_number": "218-829-3848",
            "fax_number": "218-829-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7295 GLORY RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564257308",
            "telephone_number": "218-829-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKSTROM",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MN",
            "license": "245995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudio Isidoro Duarte, M.D.
• Diane Dunn, MA, RN, LP
• Cassandra Maria Dutton, DC
• Kimberly Jeane Dwinnell-Dillon, L.I.C.S.W
• Jessica Ann Eastman, CNP
• Edgewood Baxter LLC
• Kevin James Edwards, PH.D.
• Elite Sleep Solutions, LLC
• Marilyn Elizabeth Ellis
• Amber Endres, LGSW

• Optician in Baxter, MN
• Providers in Baxter, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.