Organization Active NPI

All Eyes PLLC

  • Optometrist
  • Shakopee, MN
National Provider Identifier
1053557256
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALL EYES PLLC
Doing business as
All Eyes PLLC
Practice address
8101 Old Carriage Court
Shakopee, MN 55379-3155
Phone
(952) 445-8092
Fax
(952) 445-8096
NPI assigned
Dec 18, 2008
Last updated
Dec 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Dr. Joyce Marie Schanzenbach, O.D.NPI 1548373517
Title
O.D./Owner/Manager
Phone
(952) 447-2166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2603 MN
Optometrist 152W00000X Primary

Addresses

Primary practice location

8101 Old Carriage Court
Shakopee, MN 55379-3155

Mailing address

14655 Quebec PL
Savage, MN 55378-2568
Phone (952) 447-2166

Other identifiers 1

IdentifierTypeStateIssuer
819003800MedicaidMN

Other names 1

  • All Eyes PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180130001457 MN Part B Supplier - Clinic/Group Practice 5496015091 Receives reassigned benefits from 3 practitioners
Practice locations: Shakopee, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1053557256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14655 QUEBEC PL",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782568",
            "telephone_number": "952-447-2166",
            "fax_number": "952-445-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 OLD CARRIAGE COURT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793155",
            "telephone_number": "952-445-8092",
            "fax_number": "952-445-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL EYES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "SCHANZENBACH",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "O.D./OWNER/MANAGER",
        "authorized_official_telephone_number": "952-447-2166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2603",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819003800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Eyes PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.