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Caroline Paige St Ores

Optometrist in Chanhassen, MN. Individual provider (NPI-1).

NPI number1649963752
StatusActive
Last updated in NPPESMar 13, 2024

Details

NPI
1649963752
Entity type
Individual (NPI-1)
Name
Caroline Paige St Ores
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 2, 2023
Certification date
Mar 13, 2024
Last updated
Mar 13, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OPTOMETRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist3869MNYes

Practice location

7872 Market Blvd
Chanhassen, MN 55317-9440

Phone 952-934-1424 · Fax 952-934-2140

Mailing address

7872 Market Blvd
Chanhassen, MN 55317-9440

Phone 952-934-1424

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Chanhassen, MN

All 9 Optometrist providers in Chanhassen · All 359 providers in Chanhassen

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