Active NPI
Eden Prairie Eye Care
- Optometrist
- Eden Prairie, MN
National Provider Identifier
1073969812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1487060265
- Legal business name
- EDEN PRAIRIE EYE CARE
- Practice address
- 8251 Flying Cloud Dr
Ste 1296
Eden Prairie, MN 55344-5350 - Phone
- (952) 944-2792
- NPI assigned
- May 11, 2016
- Last updated
- May 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominique Oker, O.D.
- Title
- Owner/Optometrist
- Phone
- (952) 944-2792
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1487060265 | MN | Primary |
Addresses
Primary practice location
8251 Flying Cloud Dr
Ste 1296
Eden Prairie, MN 55344-5350
Mailing address
8251 Flying Cloud Dr
Ste 1296
Eden Prairie, MN 55344-5350
Phone (952) 944-2792
National Provider Directory
National Provider Directory- Tax ID family
- Eden Prairie Eye Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Eden Prairie, MN
- NPI 1487060265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462924800000",
"number": "1073969812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8251 FLYING CLOUD DR",
"address_2": "STE 1296",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445350",
"telephone_number": "952-944-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8251 FLYING CLOUD DR",
"address_2": "STE 1296",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445350",
"telephone_number": "952-944-2792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN PRAIRIE EYE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-11",
"last_updated": "2016-05-11",
"status": "A",
"authorized_official_last_name": "OKER",
"authorized_official_first_name": "DOMINIQUE",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "952-944-2792",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MN",
"license": "1487060265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
- Wade Rodney Eckhoff, D.C.
- Edan Oak LLC (Edan Oak assisted living)
- Kevin R Edelman, M.D.
- Eden Lakes Dental LLC (Preserve Parkway Dental)
- Eden Prairie Chiropractic Clinic Inc (Eden Prairie ChiroCenter)
- Eden Prairie Meals on Wheels
- Eden Prairie Orthodontic Assoc
- Eden Prairie School District 272
- Eden Prairie Senior Living
- Eden Therapy Center, LLC (Eden Therapy Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.