ROBERT DODGE O.D., NPI 1164424370
Optometrist in COON RAPIDS, MN
Last Updated on : Jul 09,2007
About ROBERT DODGE (NPI 1164424370)
ROBERT DODGE is an Optometrist provider in COON RAPIDS, United States. His medical specialization is Optometrist .
1164424370 is NPI number of ROBERT DODGE.
ROBERT DODGE's primary taxonomy code based on NPI Lookup is 152W00000X with license number 2510. This taxonomy code refers to Optometrist.
ROBERT DODGE has more than 17 years of experience.
ROBERT DODGE current practice location address is PO BOX 48451, COON RAPIDS, MN.
You can also correspond with ROBERT DODGE through mail at mailing address 12737 RIVERDALE BLVD NW, COON RAPIDS, MN, United States. Mailing address contact number is 763-433-3468.
The enumeration date of ROBERT DODGE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 16 years ago.1164424370 NPI Information
Basic NPI information of ROBERT DODGE (NPI 1164424370) is provided below.
| Name | ROBERT DODGE |
|---|---|
| National Provider Id (NPI) | 1164424370 |
| Entity Type | Individual |
| Gender | M |
| Credential | O.D. |
| Practice Address | PO BOX 48451,
COON RAPIDS, MN, United States |
| Practice Telephone | |
| Practice Fax Number | |
| Mailing Address | 12737 RIVERDALE BLVD NW ,
COON RAPIDS, MN, United States |
| Mailing Telephone | 763-433-3468 |
| Mailing Fax Number | |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 09-Jul-2007 |
ROBERT DODGE (NPI 1164424370) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2510 | MN |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 026765100 | MEDICAID (05) | MN |
ROBERT DODGE (NPI 1164424370) Office Location
Office location of ROBERT DODGE is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1578876496 | DAVID AAMODT | Radiology, Diagnostic Radiology | 2355 HIGHWAY 36 W STE 100,
ROSEVILLE, MN, United States |
20-Jul-2010 |
| 1972650745 | ABC DENTAL PA | Clinic/Center, Dental | 3371 COON RAPIDS BLVD NW,
COON RAPIDS, MN, United States |
04-Jan-2007 |
| 1104273705 | NEVIN SHENOUDA ABDELMALAK | Dentist | 2430 GREENWICH DR,
FULLERTON, CA, United States |
24-May-2016 |
| 1962881334 | JAD ABDELSATTAR | Student in an Organized Health Care Education/Training Program | 11850 BLACKFOOT ST NW STE 300,
COON RAPIDS, MN, United States |
19-May-2015 |
| 1003459868 | SAHAAM AHMED ABDI | Speech-Language Pathologist, | 9120 SPRINGBROOK DR NW,
COON RAPIDS, MN, United States |
24-Oct-2019 |
| 1952363137 | BANGEAN K ABDULLAH | Family Medicine | 9055 SPRINGBROOK DR NW,
COON RAPIDS, MN, United States |
04-Apr-2006 |
| 1598108631 | FARHIYO ADEN ABDULLE | Student in an Organized Health Care Education/Training Program | 3024 SNELLING AVE,
MINNEAPOLIS, MN, United States |
08-Apr-2013 |
| 1649874371 | IKRAAN A ABDULLE | Nurse Practitioner, Family | 4050 COON RAPIDS BLVD NW,
COON RAPIDS, MN, United States |
23-Nov-2020 |
| 1861441230 | ELLEN ABELN | Radiology, Diagnostic Radiology | 2355 HIGHWAY 36 W STE 100,
ROSEVILLE, MN, United States |
10-May-2006 |
| 1487960357 | SYED KASHAN ALI HAIDER ABIDI | Internal Medicine | 2925 CHICAGO AVE,
MINNEAPOLIS, MN, United States |
29-Aug-2010 |
| 1083339766 | MOHAMED ABOUBADRIA | Pharmacist | 10037 TOLEDO DR N,
BROOKLYN PARK, MN, United States |
05-Oct-2022 |
| 1588349096 | ABOUND HOME CARE SERVICES LLC | Assisted Living Facility | 548 119TH LN NW,
COON RAPIDS, MN, United States |
21-Jun-2023 |
| 1912376526 | MYATU ABRAHAM | Technician, Personal Care Attendant | 277 COON RAPIDS BLVD NW,
SUITE 410 COON RAPIDS, MN, United States |
24-Sep-2015 |
| 1225090335 | SHARILYN ANN ABSHIRE | Nurse Practitioner, Neonatal | PO BOX 43,
MR 10809 MINNEAPOLIS, MN, United States |
04-Apr-2006 |
| 1508597873 | WALA ABUSHEHAB | Dentist, General Practice | 2949 4TH ST SE UNIT 335,
MINNEAPOLIS, MN, United States |
18-Jun-2022 |
| 1164698270 | ACCUKARE INC | Skilled Nursing Facility | 13750 CROSSTOWN DR STE 202,
ANDOVER, MN, United States |
08-May-2008 |
| 1417163189 | ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A. | Dermatology | 3960 COON RAPIDS BLVD NW,
SUITE 116 COON RAPIDS, MN, United States |
16-May-2007 |
| 1023212321 | ADAM L GUNDER, MD | Hospitalist | 12660 LEYTE ST NE,
BLAINE, MN, United States |
12-Jun-2007 |
| 1891895660 | GENEVA H. ADAMS | Psychologist | 3951 GIRARD AVE N,
MINNEAPOLIS, MN, United States |
22-Sep-2006 |
| 1396305595 | JESSICA ANN ADAMS | Behavior Analyst | 9120 SPRINGBROOK DR NW,
COON RAPIDS, MN, United States |
19-Jun-2019 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1164424370?1164424370 is the NPI number of ROBERT DODGE.
What is the specialty for ROBERT DODGE?The Specialty of ROBERT DODGE is Optometrist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|