Southwest Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

2627 Issued in MN

Legal business name

SOUTHWEST EYE CARE

Practice address

304 W Highway 212
Norwood Young America, MN 55368-9775

Phone

(952) 467-2250

Fax

(952) 467-2270

NPI assigned

Apr 6, 2007

Last updated

Apr 30, 2008By 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

Ms. Kristi Leann Narum

Title

Business Manager

Phone

(952) 466-3937

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1083737159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 WHITE OAK DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182525",
            "telephone_number": "952-466-3937",
            "fax_number": "952-466-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W HIGHWAY 212",
            "city": "NORWOOD YOUNG AMERICA",
            "state": "MN",
            "postal_code": "553689775",
            "telephone_number": "952-467-2250",
            "fax_number": "952-467-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "NARUM",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "952-466-3937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650127300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CHAD DOCKTER",
            "identifier": "1104975762",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GREGORY MACIK",
            "identifier": "1922004514",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "617518000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CHRISTOPHER FREED",
            "identifier": "1770631889",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683719100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMY FREED",
            "identifier": "1881741213",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "958906600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sacred Health Family Chiropractic
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• Julie Ann Schmidt, D.C.
• Ann Schwichtenberg, RN

• Optometrist in Norwood Young America, MN
• Providers in Norwood Young America, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.