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NPI 1740275841 · live from the CMS NPI Registry

Jane Allison Bailey, M.D.

Ophthalmology, Neuro-ophthalmology in St Louis Park, MN. National Provider Identifier 1740275841, active.

NPI record

NPI1740275841 Type 1 · individual
StatusActive
Primary specialtyOphthalmology, Neuro-ophthalmology 207WX0109X
Practice location3900 Park Nicollet Blvd, St Louis Park, MN 55416
Practice phone952-993-3150
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425
EnumeratedSeptember 14, 2005
Last updatedJuly 21, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Ophthalmology207W00000XMD-44203 (IA)
Ophthalmology207W00000X21427 (NE)
Ophthalmology207W00000X65267 (MN)
Ophthalmology, Neuro-ophthalmology primary207WX0109X65267 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.