Organization Active NPI

Advanced Looks Eye Care PC

  • Optometrist
  • Grand Forks, ND
National Provider Identifier
1003307141
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ADVANCED LOOKS EYE CARE PC
Practice address
2551 32ND Ave S
Grand Forks, ND 58201-3607
Phone
(701) 230-4926
NPI assigned
May 24, 2018
Last updated
May 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Amanda M. Lee
Title
Optometrist/Owner
Phone
(971) 404-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

2551 32ND Ave S
Grand Forks, ND 58201-3607

Mailing address

5925 14TH Ave SW
Minot, ND 58701-3027

National Provider Directory

National Provider Directory
Tax ID family
Advanced Looks Eye Care PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1003307141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 14TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 32ND AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013607",
            "telephone_number": "701-230-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LOOKS EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "971-404-7853"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.