Organization Active NPI

Blink Optometry, LLC

  • Optometrist
  • Duluth, MN
National Provider Identifier
1053622993
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2986 Issued in MN
Legal business name
BLINK OPTOMETRY, LLC
Practice address
310 E Superior St Ste 150
Duluth, MN 55802
Phone
(651) 587-9355
NPI assigned
Jun 25, 2010
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Nicholas Scott Shilman, OD
Title
Optometrist
Phone
(651) 587-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2986 MN Primary

Addresses

Primary practice location

310 E Superior St Ste 150
Duluth, MN 55802

Mailing address

310 E Superior St Ste 150
Duluth, MN 55802

National Provider Directory

National Provider Directory

Locations

310 E Superior St
Ste 150
Duluth, MN 55802
Phone (218) 722-1754

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1053622993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E SUPERIOR ST STE 150",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E SUPERIOR ST STE 150",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "651-587-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLINK OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "SHILMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "651-587-9355",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.