Active NPI
Paul James Fleming, O.D.
- Optometrist
- Savage, MN
National Provider Identifier
1033472865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3293
- Practice address
- 14734 Yosemite Ave S
Savage, MN 55378-4907 - Phone
- (952) 270-6130
- NPI assigned
- Jun 18, 2012
- Last updated
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 3293 | MN | Primary |
Addresses
Primary practice location
14734 Yosemite Ave S
Savage, MN 55378-4907
Mailing address
14734 Yosemite Ave S
Savage, MN 55378-4907
Phone (952) 270-6130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3293 | MN | MD | Marriage & Family Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Preferred Provider Organization
- Apple Valley, MN
- NPI 1144570789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1033472865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14734 YOSEMITE AVE S",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553784907",
"telephone_number": "952-270-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14734 YOSEMITE AVE S",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553784907",
"telephone_number": "952-270-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "PAUL",
"middle_name": "JAMES",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savage, MN
- Finish Line Wellness
- Finish Line Wellness
- Amy Marie Finn, DDS
- Flagship Franchises of Minnesota, LLC (SarahCare Adult Day Services)
- Flagship Franchises of MN, LLC (Sarah Adult Day Services)
- Trevor James Flick, MA
- Ann Forshay
- Uche Franklin, DNP, APRN, CNP, FNP
- Ruth Froese, OTR
- Lisa Marie Fulton, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.