Osnes, Russell Nathaniel
Osnes, Russell Nathaniel is an individual health care provider with primary practice located at 1340 Duckwood Dr Suite 14, Eagan MN 55123-2324. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Osnes, Russell Nathaniel can be contacted via phone (651) 452-0344.Contact Information
Primary practice address
1340 Duckwood Dr Suite 14
Eagan MN 55123-2324
Phone: (651) 452-0344
Fax: (651) 452-1564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1958000 | Minnesota |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1958000 | Minnesota |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1958000 | Minnesota |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1958000 | Minnesota |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 1958000 | Minnesota |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 1958000 | Minnesota |
Profile Details
| NPI number | 1982792867 |
|---|---|
| LBN Legal business name | Osnes, Russell Nathaniel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | May 28th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982792867 | NPPES |
| Minnesota | Other | 2204496 | MEDICA |
| Minnesota | Other | 103669 | MEDICA |
| Minnesota | MEDICAID | 867223700 | MEDICA |
| Minnesota | Other | 2200456 | MEDICA |
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