Savage Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

6350254 Issued in MN

Legal business name

SAVAGE EYE CLINIC

Doing business as

Eagan Eye Clinic

Practice address

3930 Cedar Grove Pkwy
Eagan, MN 55122-1403

Phone

(651) 454-5661

Fax

(651) 454-5669

NPI assigned

Jul 17, 2014

Organization subpart

Yes

Parent organization

EAGAN EYE CLINICAs reported in NPPES

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

Authorized official

Name

Kris Haffner

Title

Clinic Administrator

Phone

(651) 454-5661

Specialties & licenses 1

Addresses

Other names 1

• Eagan Eye Clinic Doing business as

Part of

Eagan Eye Clinic LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Eagan Eye Clinic LLC

  • Optometrist
  • Eagan, MN
  • NPI 1477732337
  NPPES parent name

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1831506252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 EGAN DR",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784918",
            "telephone_number": "952-226-2020",
            "fax_number": "952-226-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 CEDAR GROVE PKWY",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221403",
            "telephone_number": "651-454-5661",
            "fax_number": "651-454-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVAGE EYE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGAN EYE CLINIC",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "HAFFNER",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "651-454-5661"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "6350254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagan Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yankuba A Sanyang, NP
• Elisa Sarmento, MA, LADC
• Sarah Wehrheim Sarnowski
• Gretchen Sattler
• Kali Anne Saulsbury, RN, CNP
• Gregory L Scallon, MD
• Maureen C Scanlan, OTR/L, CHT
• Mary Beth Scanlon, PHD, LP
• Arlene Cheryl Schatz, LICSW
• Marsha Chung Schauer, LMFT

• Optometrist in Eagan, MN
• Providers in Eagan, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.