Provider Demographics
NPI:1447415047
Name:VEIRE, EVAN JAMES (OD)
Entity Type:Individual
Prefix:DR
First Name:EVAN
Middle Name:JAMES
Last Name:VEIRE
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 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:651-254-7557
Practice Address - Street 1:401 PHALEN BLVD - MS 41102E
Practice Address - Street 2:HEALTHPARTNERS SPECIALTY CENTER 401
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-5302
Practice Address - Country:US
Practice Address - Phone:651-254-7500
Practice Address - Fax:651-254-7557
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3117-035152W00000X
MN3144152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38646000Medicaid
WI60813OtherDEAN HEALTH INSURANCE
WI38646000Medicaid