The Eye Doctors Office, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2244 Issued in MN

Legal business name

THE EYE DOCTORS OFFICE, PA

Practice address

4999 France Ave S
Suite 140
Minneapolis, MN 55410-1703

Phone

(612) 440-2020

Fax

(612) 440-0202

NPI assigned

Apr 14, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy P Haupert, ODNPI 1780777383

Title

President

Phone

(612) 940-1717

Specialties & licenses 1

Addresses

Other names 1

• Art of Optiks Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Eye Doctors Office, PA

  • Optometrist
  • Wayzata, MN
  • NPI 1962527754

  O20040415000295

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Art of Optiks2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Eye Doctors Office, PA

  • Optometrist
  • Wayzata, MN
  • NPI 1962527754
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy P Haupert, O.D.

  • Optometrist
  • Wayzata, MN
  • NPI 1780777383
  NPD Authorized official
• Caroline Paige St Ores

  • Optometrist
  • Chanhassen, MN
  • NPI 1649963752
  NPD
• Brett Michael Hollenbach

  • Optometrist
  • Columbus, OH
  • NPI 1669953873
  NPD
• Victoria Whitman

  • Optometrist
  • Chicago, IL
  • NPI 1134538903
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679788800000",
    "number": "1003260290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 FRANCE AVE S",
            "address_2": "SUITE 140",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 FRANCE AVE S",
            "address_2": "SUITE 140",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101703",
            "telephone_number": "612-440-2020",
            "fax_number": "612-440-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE DOCTORS OFFICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "HAUPERT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-940-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Art of Optiks",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Art of Optiks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.