NPIMap

Organization Active NPI

Midwest Vision Centers, Inc

Doing business as Midwest Vision Centers

  • Optician
  • Morris, MN
National Provider Identifier
1073682191
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MIDWEST VISION CENTERS, INC
Doing business as
Midwest Vision Centers
Practice address
512 Atlantic Ave
Morris, MN 56267
Phone
(320) 589-1300
Fax
(320) 589-3348
NPI assigned
Nov 6, 2006
Last updated
Dec 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Carin M Evans
Title
Director of Operations
Phone
(320) 252-5777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Optician 156FX1800X NU Primary

Addresses

Primary practice location

512 Atlantic Ave
Morris, MN 56267

Mailing address

PO Box 456
St. Cloud, MN 56302
Phone (320) 252-5777

Other identifiers 1

IdentifierTypeStateIssuer
07763K1OtherMNBCBS

Other names 2

  • Midwest Vision Centers Doing business as
  • Vista Optical, Midwest Vision Former legal business name

National Provider Directory

National Provider Directory

Locations

2001 W Lincoln Ave
Ste 19
Fergus Falls, MN 56537
Phone (218) 739-2236

212 8th St S
Moorhead, MN 56560
Phone (218) 233-1867

1416 S 12th Ave
Virginia, MN 55792
Phone (218) 749-1200

318 Jefferson St S
Wadena, MN 56482
Phone (218) 631-3300

1605 1st St S
Willmar, MN 56201
Phone (320) 235-5853

3051 25th St S
Ste K2
Fargo, ND 58103
Phone (701) 234-0766

2800 S Columbia Rd
Ste 301
Grand Forks, ND 58201
Phone (701) 746-4240

2400 10th St SW
Minot, ND 58701
Phone (701) 837-9699

Practitioners & affiliated clinicians

Practitioners 11

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1073682191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56302",
            "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": "512 ATLANTIC AVE",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "56267",
            "telephone_number": "320-589-1300",
            "fax_number": "320-589-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VISION CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CARIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "320-252-5777"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07763K1",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Vision Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Optical, Midwest Vision",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Morris, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.