Zumbrota Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ZUMBROTA EYE CARE LLC

Practice address

352 S Main St
Zumbrota, MN 55992-1544

Phone

(507) 732-5013

Fax

(507) 732-5401

NPI assigned

Dec 29, 2013

Last updated

Dec 29, 2013By 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

Lacey Ann Lexvold

Title

Owner

Phone

(507) 732-5013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1388275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388275200000",
    "number": "1093136640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559920038",
            "telephone_number": "507-732-5013",
            "fax_number": "507-732-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S MAIN ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921544",
            "telephone_number": "507-732-5013",
            "fax_number": "507-732-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUMBROTA EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-29",
        "last_updated": "2013-12-29",
        "status": "A",
        "authorized_official_last_name": "LEXVOLD",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-732-5013"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Zumbrota Optometric Center, P.a.

• Optometrist in Zumbrota, MN
• Providers in Zumbrota, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2013; 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.