Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Omar Dajani, MD

Individual provider Ophthalmology Physician · NPI 1639564446

Dr. Omar Dajani, MD is an Ophthalmology in St Louis Park, Minnesota. Qualified in 2015, 11 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts, Minnesota and New Mexico.

Years since qualifying
11
Licensed in
MA, MN, NM
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3900 Park Nicollet Blvd
St Louis Park, MN 55416-2505
Phone: (952) 993-3150
Fax: (952) 993-3611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Washington St, Boston, MA 02111-1552 — (617) 636-4600

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 69362 (MN)
Ophthalmology Physician Taxonomy 207W00000X · Licence 266351 (MA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 69362 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RS2018-0944 (NM)

Record details

NPI number1639564446
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 30, 2015
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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