Eyecare Centers of Aitkin & McGregor Optometrists, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2588 Issued in MN

Legal business name

EYECARE CENTERS OF AITKIN & MCGREGOR OPTOMETRISTS, PA

Practice address

312 Minnesota Ave. N
Aitkin, MN 56431-1414

Phone

(218) 927-3213

Fax

(218) 927-2266

NPI assigned

Jul 1, 2006

Last updated

Dec 3, 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

Steven Anthony Kinzer, ODNPI 1518918960

Title

Owner/Partner

Phone

(218) 927-3213

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eyecare Centers of Aitkin & McGregor Optometrists, PA

  dba EyeCare Center of McGregor

  • Optometrist
  • McGregor, MN
  • NPI 1437233079

  3971539685

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eyecare Centers of Aitkin & McGregor Optometrists, PA

  dba EyeCare Center of McGregor

  • Optometrist
  • McGregor, MN
  • NPI 1437233079

  O20050714000100

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Eyecare Center of Aitkin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eyecare Centers of Aitkin & McGregor Optometrists, PA

  dba EyeCare Center of McGregor

  • Optometrist
  • McGregor, MN
  • NPI 1437233079
  NPD tax ID

Locations

Practitioners 4

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.

• Steven Anthony Kinzer, OD

  • Optometrist
  • Aitkin, MN
  • NPI 1518918960
  NPD Authorized official
• David Kenneth Hakes, O.D.

  • Optometrist
  • Northfield, MN
  • NPI 1992701536
  NPD
• Douglas Roland Landsverk, OD

  • Optometrist
  • Aitkin, MN
  • NPI 1265483606
  NPD
• Tori Telecky, OD

  • Optometrist
  • Aitkin, MN
  • NPI 1396674610
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1104855287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MINNESOTA AVE N",
            "address_2": "SUITE 1",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "56431",
            "telephone_number": "218-927-3213",
            "fax_number": "218-927-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MINNESOTA AVE. N",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311414",
            "telephone_number": "218-927-3213",
            "fax_number": "218-927-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE CENTERS OF AITKIN & MCGREGOR OPTOMETRISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "KINZER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "218-927-3213",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2588",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601218300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calliegh Duffney
• Michael Angelo Eannelli, PHARM. D.
• Jeffrey G Ehnstrom, MD
• Jamie Lynn Erickson
• Everlasting Memories
• Dayelise Marie Fleigle, PA-C
• Sean Robert Carl Fleming, DDS
• Fresenius Medical Care Centracare Dialysis, LLC (Fresenius Kidney Care Aitkin)
• Holly N Frischmon, DNAP, APRN, CRNA
• Lisa A Gerhart, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.