Organization Active NPI

Russell N Osnes OD & Associates PA

Doing business as Yankee Eye Clinic

  • Optometrist
  • Eagan, MN
National Provider Identifier
1831243179
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RUSSELL N OSNES OD & ASSOCIATES PA
Doing business as
Yankee Eye Clinic
Practice address
1340 Duckwood Dr
Suite 14
Eagan, MN 55123-2324
Phone
(651) 452-0344
Fax
(651) 452-1564
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Mr. Russell Nathaniel Osnes, OD
Title
Owner/President
Phone
(651) 452-0344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1340 Duckwood Dr
Suite 14
Eagan, MN 55123-2324

Mailing address

1340 Duckwood Dr
Suite 14
Eagan, MN 55123-2324
Phone (651) 452-0344

Other names 1

  • Yankee Eye Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2030593Yankee Eye Clinic1340 Duckwood Drive, Ste 14, Eagan, MN 55123Certificate of waiverApr 18, 2027

National Provider Directory

National Provider Directory

Locations

435 S Grove St
Blue Earth, MN 56013
Phone (507) 526-2222

15083 Crestone Ave W
Rosemount, MN 55068
Phone (651) 423-3300

15120 Chippendale Ave W
Ste 101
Rosemount, MN 55068
Phone (651) 423-3300

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1831243179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 DUCKWOOD DR",
            "address_2": "SUITE 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",
            "address_2": "SUITE 14",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232324",
            "telephone_number": "651-452-0344",
            "fax_number": "651-452-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL N OSNES OD & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "OSNES",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "651-452-0344",
        "authorized_official_name_prefix": "Mr.",
        "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": "Yankee 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 Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.