Provider Demographics
NPI:1992728083
Name:SLAPNICHER, JOSEPH MICHAEL (OD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:SLAPNICHER
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 1:1011 N FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-2662
Mailing Address - Country:US
Mailing Address - Phone:651-437-5469
Mailing Address - Fax:651-437-2910
Practice Address - Street 1:1011 N FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-2662
Practice Address - Country:US
Practice Address - Phone:651-437-5469
Practice Address - Fax:651-437-2910
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1548152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN611523300Medicaid
MNT40067OtherHEALTHPARTNERS
MN00979001OtherPREFERRED ONE
MN2202751OtherMEDICA
MN0357400001OtherAMINISTAR FEDERAL
MN0N565SLOtherBLUE CROSS BLUE SHIELD
MN410007491OtherRAILROAD MEDICARE
MN2202751OtherMEDICA
MN410007491OtherRAILROAD MEDICARE