Jonah Mitchell Resnick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3785 Issued in MN

Practice address

17690 Kenwood TRL
Lakeville, MN 55044-9764

Phone

(952) 898-9588

NPI assigned

May 26, 2022

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Male

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kennedy Vision Health Center LLCGroup PAC ID 9739173659, 7 clinicians

Sees the Day LTDGroup PAC ID 7517921372, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kennedy Vision Health Center, LLC

  dba Kenndy Vision Health Center

  • Optometrist
  • Plymouth, MN
  • NPI 1033203963
  Medicare reassignment Care Compare group NPD
• Sees the Day LTD

  dba Pearle Vision

  • Optician
  • Woodbury, MN
  • NPI 1396823316

  Optometrist

  Medicare reassignment Care Compare group NPD
• Burnsville Eye Clinic LLC

  • Optometrist
  • Burnsville, MN
  • NPI 1255575973
  Medicare reassignment NPD
• Lakeville Family Eye Care LLC

  • Optometrist
  • Lakeville, MN
  • NPI 1427292143
  Medicare reassignment NPD
• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890

  MN

  Medicare reassignment NPD
• Kennedy Vision Health Center, LLC

  • Optometrist
  • Otsego, MN
  • NPI 1255165932
  NPD
• Sees the Day LTD

  dba Pearle Vision

  • Technician/Technologist
  • Hastings, MN
  • NPI 1942370572

  Optometrist

  NPD

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1871231084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 MARION LN W APT 4125",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553051327",
            "telephone_number": "952-200-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17690 KENWOOD TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449764",
            "telephone_number": "952-898-9588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 County Road 42 E",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374652",
            "country_code": "US",
            "telephone_number": "952-894-1400",
            "fax_number": "952-808-2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "JONAH",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ethan Rekedal, DPT
• Kali Jade Rencountre
• Restwell Mattress Company (Restwell Mattress Factory)
• Revive Health Medical Weight Loss & Wellness
• Alexander David Reynolds
• Allison Adele Reynolds, RD
• Teresa Rhone, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.