Red Wing Optometric Clinic, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2513 Issued in MN

Legal business name

RED WING OPTOMETRIC CLINIC, P.A.

Doing business as

eye care associates

Practice address

164 Tyler Rd S
Red Wing, MN 55066-1733

Phone

(651) 388-9187

NPI assigned

Jun 28, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris J Palmer, OD

Title

Vice President

Phone

(651) 388-9187

Specialties & licenses 1

Addresses

Other names 1

• eye care associates Doing business as

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003813635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 TYLER RD S",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661733",
            "telephone_number": "651-388-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 TYLER RD S",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661733",
            "telephone_number": "651-388-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED WING OPTOMETRIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "651-388-9187",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eye care associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Red Wing Healthcare LLC (Red Wing Health Center)
• Red Wing Public Schools
• Red Wing Vision Care LLC (Pearle Vision)
• Sarah Reichert, MS, LICSW
• Stormie Ann Reiman
• Kim Ann Reinitz, RN, MSN, APRN, FNP-C

• Optometrist in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.