Eyeswear

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

EYESWEAR

Doing business as

Uptowm Eyeswear
Uptown Eyeswear

Practice address

720 W Lake St # 107
Minneapolis, MN 55408-2963

Phone

(612) 216-4705

NPI assigned

Jan 4, 2018

Last updated

Jun 16, 2018By 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

Mr. Moulay Younes ElidrissiNPI 1053824045

Title

Owner

Phone

(763) 250-8494

Specialties & licenses 1

Addresses

Other names 2

• Uptowm Eyeswear Doing business as
• Uptown Eyeswear Doing business as

Practitioners 1

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.

• Moulay Younes Elidrissi

  • Optometrist
  • Minneapolis, MN
  • NPI 1053824045
  NPD (past) Authorized official

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1073020681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W LAKE ST # 107",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082963",
            "telephone_number": "612-216-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W LAKE ST # 107",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082963",
            "telephone_number": "612-216-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ELIDRISSI",
        "authorized_official_first_name": "MOULAY YOUNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-250-8494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptowm Eyeswear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Uptown Eyeswear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eye Care Associates PA
• Eye Care Associates PA
• Eye Care Associates, PA
• Eyecare MPLS PLLC
• Eyestorerx, LLC
• Raye McPhillips Eyrich, PH.D.
• Adaolisa Ezechukwu
• Karen Marie Ezuck, OT
• Hayat A Ezzat, PHARMD
• F&F Health, Inc

• Ophthalmologic Surgery Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Ophthalmologic Surgery Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.