NPIMap

Organization Active NPI

Universal Optical LLC

  • Eyewear Supplier
  • Minneapolis, MN
National Provider Identifier
1083001390
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
UNIVERSAL OPTICAL LLC
Practice address
2910 Pillsbury Ave S Apt 324
Minneapolis, MN 55408-5502
Phone
(612) 236-4632
Fax
(612) 259-8411
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Ali Jama Khalif
Title
Owner
Phone
(612) 250-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X MN Primary

Addresses

Primary practice location

2910 Pillsbury Ave S Apt 324
Minneapolis, MN 55408-5502

Mailing address

2910 Pillsbury Ave S Apt 324
Minneapolis, MN 55408-5502
Phone (612) 236-4632

National Provider Directory

National Provider Directory

Locations

2910 Pillsbury Ave S
Apt 324
Minneapolis, MN 55408
Phone (612) 236-4632

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1083001390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY AVE S APT 324",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085502",
            "telephone_number": "612-236-4632",
            "fax_number": "612-259-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY AVE S APT 324",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085502",
            "telephone_number": "612-236-4632",
            "fax_number": "612-259-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "KHALIF",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "JAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-250-3666"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.