Active NPIIndividual providerSole proprietor

Dr. Omar Dajani, MD

Ophthalmology, Retina Specialist in St Louis Park, Minnesota

NPI Number1639564446
Practice location
3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505
Fax
952-993-3611
Last updated
April 26, 2023

Omar Dajani is an Ophthalmology, Retina Specialist based in St Louis Park, MN. Omar Dajani practices in St Louis Park, MN and has the professional credentials of MD. The NPI Number for Omar Dajani is 1639564446 and holds a License No. 266351 (MA). The current practice location address for Omar Dajani is 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 and can be reached out via phone at 952-993-3150 and via fax at 952-993-3611.

Provider Profile Details

NPI Number
1639564446
Provider Name
Omar Dajani
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505
Phone Number
952-993-3150
Fax Number
952-993-3611
Primary Taxonomy
Ophthalmology, Retina Specialist · 207WX0107X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2015
Last Update Date
April 26, 2023
Certification Date
April 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
3900 Park Nicollet Blvd
St Louis Park, MN 55416-2505
Zip
55416-2505
Phone Number
952-993-3150
Fax Number
952-993-3611
St Louis Park, MN 55416Get directions →

Provider Business Mailing Address Details

Address
8170 33RD Ave S # Ms 21110Q
Bloomington, MN 55425-4516
City
Bloomington
State
MN
Zip
55425-4516

License Information

License Number (1)
266351
License State (1)
MA
Taxonomy (1)
Ophthalmology · 207W00000X
License Number (2)
69362
License State (2)
MN
Taxonomy (2)
Ophthalmology · 207W00000X
License Number (3)
RS2018-0944
License State (3)
NM
License Number (4)
69362
License State (4)
MN
Taxonomy (4)
Ophthalmology, Retina Specialist · 207WX0107X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Omar Dajani, MD?

The NPI number of Dr. Omar Dajani, MD is 1639564446. It was assigned on March 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Omar Dajani, MD?

Dr. Omar Dajani, MD is registered under the primary taxonomy Ophthalmology, Retina Specialist (code 207WX0107X), licensed in MA under license number 266351.

Where does Dr. Omar Dajani, MD practice?

The practice location is 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505. The office can be reached at 952-993-3150 (phone) or 952-993-3611 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639564446 directly on the NPPES registry website.

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