OPHTHALMOLOGY ASSOCIATES OF MANKATO - NPI 1457717803

Q: What is Ophthalmology Associates Of Mankato's NPI number?

The NPI number for Ophthalmology Associates Of Mankato is 1457717803. It was assigned to this organization in the NPPES registry on January 14, 2016.

Q: What is Ophthalmology Associates Of Mankato's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Ophthalmology Associates Of Mankato NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPHTHALMOLOGY ASSOCIATES OF MANKATO (NPI 1457717803) is a healthcare organization registered as a specialist in Mankato, Minnesota and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Emily Susan Birkholz, Owner, as its authorized official.

NPPES Registry Identity

NPI1457717803

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameOPHTHALMOLOGY ASSOCIATES OF MANKATO

Location Address1630 ADAMS STMankato, MN 56001-6795

Mailing Address1630 Adams StMankato, MN 56001-6795 · (507) 385-6151 · Fax (507) 625-1096

Phone(507) 385-6151

Fax(507) 625-1096

Organization SubpartNo

Authorized OfficialEmily Susan BirkholzOwner · (507) 345-6151

Enumeration DateJanuary 14, 2016

Last NPPES UpdateApril 5, 20222 updates tracked since enumeration

NPPES CertifiedApril 5, 2022

✔ NPI 1457717803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MN · 59163

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1630 ADAMS ST, Mankato, MN 56001

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2223973

Ophthalmology Associates Of Mankato · Mankato, MN

Active · expires May 10, 2027

CLIA Number24D2223973

Laboratory TypePhysician Office

Certificate Effective DateMay 11, 2025

Certificate Expiration DateMay 10, 2027

Laboratory DirectorAmy E. Slama

Laboratory Phone(507) 345-6151

Laboratory LocationOphthalmology Associates Of Mankato1630 Adams St, Mankato, MN 56001

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN CARPENTER MD

Ophthalmology