Organization Active NPI

Frank C. Munns O.D. L.T.D.

  • Optometrist
  • Duluth, MN
National Provider Identifier
1104951722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
LD1918000 Issued in MN
Legal business name
FRANK C. MUNNS O.D. L.T.D.
Practice address
1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone
(218) 725-0204
Fax
(218) 722-8873
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank Clark Munns, O.D.
Title
President
Phone
(218) 727-3835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X LD1918000 MN Primary

Addresses

Primary practice location

1600 Miller Trunk Hwy
Duluth, MN 55811-5640

Mailing address

6632 Bergstrom Rd
Duluth, MN 55803-9236
Phone (218) 727-3835

Other identifiers 2

IdentifierTypeStateIssuer
2228846OtherMNMEDICA PROVIDER ID
26781MUOtherMNBCBS PROVIDER ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104951722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6632 BERGSTROM RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558039236",
            "telephone_number": "218-727-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MILLER TRUNK HWY",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115640",
            "telephone_number": "218-725-0204",
            "fax_number": "218-722-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK C. MUNNS O.D. L.T.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNNS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-727-3835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "LD1918000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER ID",
            "identifier": "2228846",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "26781MU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.