Chaska Eye Care and Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

2369 Issued in MN

Legal business name

CHASKA EYE CARE AND VISION CENTER

Practice address

114 E 3Rd St
Chaska, MN 55318-1910

Phone

(952) 448-4243

NPI assigned

Jul 24, 2008

Last updated

Jul 24, 2008By 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

Steven Norman Monroe, O.D.

Title

Owner

Phone

(952) 448-4243

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1013172576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 3RD ST",
            "address_2": "P. O. BOX 115",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 3RD ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181910",
            "telephone_number": "952-448-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASKA EYE CARE AND VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-448-4243",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004461499",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2222868",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2114051",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321525300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "962590653003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FISERV",
            "identifier": "111336",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "45415CH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "38662",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51287MO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaska Center Drug, PC (Center Drug)
• Chaska Chiropractic & Wellness PLLC
• Chaska Commons Dental Group PC (Chaska Commons Dental Group)
• Chaska Counseling and Guidance, LLC
• Chaska Dental Center, P.a.
• Chaska Family Chiropractic, Inc.
• Chaska Family Dental, P.L.L.C.
• Chaska Independent School District 112
• Chaska Lakes Chiropractic & Rehabilitation PLLC
• Chaska Lakes Chiropractic, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.