Provider Demographics
NPI:1376336511
Name:PFISTER, JOSHUA JAMES (OD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JAMES
Last Name:PFISTER
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 1:1200 CHASKA CREEK WAY STE 110
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-2749
Mailing Address - Country:US
Mailing Address - Phone:320-587-6308
Mailing Address - Fax:
Practice Address - Street 1:1200 CHASKA CREEK WAY STE 110
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-2749
Practice Address - Country:US
Practice Address - Phone:952-466-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4001152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist