Provider Demographics
NPI:1699768127
Name:WARSHAWSKY, DAVID N (OD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:N
Last Name:WARSHAWSKY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 NICOLLET MALL
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2606
Mailing Address - Country:US
Mailing Address - Phone:612-338-4861
Mailing Address - Fax:612-333-8306
Practice Address - Street 1:825 NICOLLET MALL
Practice Address - Street 2:SUITE 2000
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2606
Practice Address - Country:US
Practice Address - Phone:612-338-4861
Practice Address - Fax:612-333-8306
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1670152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2122690OtherMEDICA OPTICAL
MN2208397OtherSELECTCARE
MN744001OtherPREFERRED ONE
MN112111C757OtherUCARE
MN26T08WAOtherBLUE SHIELD
MN564723100Medicaid
MN2205507OtherMEDICACHOICE
MN0800038OtherMEDICA PRIMARY
MN2002101436OtherMETROPOLITAN HLTH PLAN
MNHP14926OtherHEALTHPARTNERS
MN1707OtherPATIENT CHOICE WAUSAU
MNHP14926OtherHEALTHPARTNERS
MN26T08WAOtherBLUE SHIELD
MN744001OtherPREFERRED ONE
MN112111C757OtherUCARE
MN2205507OtherMEDICACHOICE
MN564723100Medicaid