MEDICARE: MICHAEL VAUGHN EMERSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	50633	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649222902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL VAUGHN EMERSON MD

Provider Business Mailing Address
First Line	:	710 E 24TH ST
Second Line	:	SUITE 304
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-3846
Country	:	US
Telephone Number	:	612-871-2292
Fax Number	:	952-460-5274

Provider Business Practice Location Address
First Line	:	710 E 24TH ST STE 304
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-3846
Country	:	US
Telephone Number	:	612-871-2292
Fax Number	:	952-460-5274

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/12/2026

Similar Medicare Providers

1801848171 — GEOFFREY GUY EMERSON MD
Practice Location Address:

710 E 24TH ST , SUITE 304
MINNEAPOLIS, MN
55404-3846

Practice Phone: 612-871-2292
Practice Fax: 952-460-5274

1396776951 — DR. ABDHISH RAMAN BHAVSAR M.D.
Practice Location Address:

710 E 24TH ST STE 304
MINNEAPOLIS, MN
55404-3846

Practice Phone: 612-871-2292
Practice Fax: 952-460-5274

1689604316 — RETINA CENTER PA
Practice Location Address:

710 E 24TH ST , SUITE 304
MINNEAPOLIS, MN
55404-3846

Practice Phone: 612-871-2292
Practice Fax: 952-460-5274

1780720201 — MR. JACOB MICHAEL JONES M.D.
Practice Location Address:

710 E. 24TH ST , SUITE 304
MINNEAPOLIS, MN
55404-3846

Practice Phone: 612-871-2292
Practice Fax: 952-460-5274

1609166768 — DR. YEVGENIY VLADIMIROVICH SYCHEV M.D.
Practice Location Address:

710 E 24TH ST STE 304
MINNEAPOLIS, MN
55404-3846

Practice Phone: 800-233-8504
Practice Fax: 952-460-5274

1396763652 — DR. DENNIS J OCONNELL D.O.
Practice Location Address:

15901 E BRIARWOOD CIR UNIT 100
AURORA, CO
80016-1781

Practice Phone: 303-817-2105
Practice Fax: 720-328-5369

Directions to “ MICHAEL VAUGHN EMERSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.