Active NPI
Andrea Karen Zipprich, OD
- Optometrist
- Thief River Falls, MN
National Provider Identifier
1033214473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2340
- Practice address
- 211 N Labree Avenue
Midwest Vision Centers
Thief River Falls, MN 56701 - Phone
- (218) 681-5606
- Fax
- (218) 681-5609
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2340 | MN | Primary |
Addresses
Primary practice location
211 N Labree Avenue
Midwest Vision Centers
Thief River Falls, MN 56701
Mailing address
16225 160TH Ave NE
Thief River Falls, MN 56701
Phone (320) 252-5777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202059 | Other | MN | MEDICA |
| 284R2ZI | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040401001635 | MN | Practitioner - Optometry | 1355333923 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033214473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16225 160TH AVE NE",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "56701",
"telephone_number": "320-252-5777",
"fax_number": "320-258-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N LABREE AVENUE",
"address_2": "MIDWEST VISION CENTERS",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "56701",
"telephone_number": "218-681-5606",
"fax_number": "218-681-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIPPRICH",
"first_name": "ANDREA",
"middle_name": "KAREN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "2202059",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "284R2ZI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thief River Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.